Provider Demographics
NPI:1164408555
Name:FERRITER, PIERCE JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERCE
Middle Name:JOSEPH
Last Name:FERRITER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 3RD AVE
Mailing Address - Street 2:FLOOR 5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1802
Mailing Address - Country:US
Mailing Address - Phone:212-772-9711
Mailing Address - Fax:212-772-9713
Practice Address - Street 1:1421 3RD AVE
Practice Address - Street 2:FLOOR 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1802
Practice Address - Country:US
Practice Address - Phone:212-772-9711
Practice Address - Fax:212-772-9713
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY145930207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00998834Medicaid
NYB17893Medicare UPIN
NY00998834Medicaid