Provider Demographics
NPI:1053509083
Name:MARIA V PIRRAGLIA MD PC
Entity Type:Organization
Organization Name:MARIA V PIRRAGLIA MD PC
Other - Org Name:MOUNTAIN MEDICAL PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:PIRRAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-849-3000
Mailing Address - Street 1:17025 MOUNT ROSE HWY # C
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5708
Mailing Address - Country:US
Mailing Address - Phone:212-734-7600
Mailing Address - Fax:212-734-2266
Practice Address - Street 1:17025 MOUNT ROSE HWY STE C
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-5708
Practice Address - Country:US
Practice Address - Phone:775-849-3000
Practice Address - Fax:775-849-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2700919OtherGHI
NY2700919OtherGHI