Provider Demographics
NPI:1518959568
Name:ALESSI, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:ALESSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1617 N JAMES ST
Mailing Address - Street 2:SUITE 550
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2852
Mailing Address - Country:US
Mailing Address - Phone:315-336-3380
Mailing Address - Fax:315-339-3182
Practice Address - Street 1:1617 N JAMES ST
Practice Address - Street 2:SUITE 550
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2852
Practice Address - Country:US
Practice Address - Phone:315-336-3380
Practice Address - Fax:315-339-3182
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0868571207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00564287Medicaid
NYB82825Medicare UPIN
NY00564287Medicaid