Provider Demographics
NPI:1740456912
Name:PIERONI, SABRINA (MD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:PIERONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 CANAL ST
Mailing Address - Street 2:FL 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4551
Mailing Address - Country:US
Mailing Address - Phone:914-633-7700
Mailing Address - Fax:
Practice Address - Street 1:155 CANAL ST
Practice Address - Street 2:FL 3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4551
Practice Address - Country:US
Practice Address - Phone:914-633-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2249202085R0202X
CAA1069012085R0202X
NY2564372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03216864Medicaid
NYA4000311Medicare PIN