Provider Demographics
NPI:1750490330
Name:PIEROTTI, VALENTINE (MD)
Entity Type:Individual
Prefix:
First Name:VALENTINE
Middle Name:
Last Name:PIEROTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1110
Mailing Address - Country:US
Mailing Address - Phone:212-516-1444
Mailing Address - Fax:212-838-6519
Practice Address - Street 1:425 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1110
Practice Address - Country:US
Practice Address - Phone:212-516-1444
Practice Address - Fax:212-838-6519
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112196207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00496057Medicaid
NY34A711Medicare PIN
NY00496057Medicaid