Provider Demographics
NPI:1508838269
Name:PIQUION-JOSEPH, JOHANN M (MD)
Entity Type:Individual
Prefix:
First Name:JOHANN
Middle Name:M
Last Name:PIQUION-JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 LATTIMORE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4155
Mailing Address - Country:US
Mailing Address - Phone:585-273-3608
Mailing Address - Fax:585-442-6798
Practice Address - Street 1:125 LATTIMORE RD STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4155
Practice Address - Country:US
Practice Address - Phone:585-273-3608
Practice Address - Fax:585-442-6798
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY224794207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH62188Medicare UPIN
DD1256Medicare ID - Type Unspecified