Provider Demographics
NPI:1356355275
Name:PIERETTI, MARIAH MAGARGEE (MD)
Entity type:Individual
Prefix:DR
First Name:MARIAH
Middle Name:MAGARGEE
Last Name:PIERETTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIAH
Other - Middle Name:
Other - Last Name:MAGARGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:840 HANSHAW RD
Mailing Address - Street 2:ASTHMA AND ALLERGY ASSOCIATES, P.C.
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1589
Mailing Address - Country:US
Mailing Address - Phone:607-257-6563
Mailing Address - Fax:
Practice Address - Street 1:840 HANSHAW RD
Practice Address - Street 2:ASTHMA AND ALLERGY ASSOCIATES, P.C.
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1589
Practice Address - Country:US
Practice Address - Phone:607-257-6563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2332612080P0204X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02798121Medicaid
NY02798121Medicaid
NY710Z81Medicare ID - Type Unspecified