Individual
ALEX PASQUARIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-8880
(315) 393-8895
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
163442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77922
MVP
NY
Enumeration date
05/25/2006
Last updated
07/16/2007
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