Provider Demographics
NPI:1336225150
Name:PFEIFF, JAMES L (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:PFEIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:321 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2611
Mailing Address - Country:US
Mailing Address - Phone:315-361-2268
Mailing Address - Fax:315-361-2968
Practice Address - Street 1:321 GENESEE ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2611
Practice Address - Country:US
Practice Address - Phone:315-361-2268
Practice Address - Fax:315-361-2968
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1733282083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000921934001OtherHEALTHNOW
7729015OtherCIGNA
00040398901OtherUNIVERA
10030446OtherCDPHP
P010173328OtherBCBS
NY01135542Medicaid
165284OtherMVP
0202195OtherGHI
584065OtherAETNA
000921934001OtherHEALTHNOW
0202195OtherGHI
NY01135542Medicaid
00040398901OtherUNIVERA
NYJ400088422Medicare PIN
161355152OtherPOMCO
584065OtherAETNA
165284OtherMVP