Individual
DR. ANTHONY M PISACANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2590 FRISBY AVE, BRONX, NY 10461-3240
(718) 409-9400
(718) 409-9440
Mailing address
2590 FRISBY AVE, BRONX, NY 10461-3240
(718) 409-9400
(718) 409-9440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
102139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176018
—
NY
Enumeration date
11/08/2005
Last updated
10/04/2018
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