Healthcare Provider Details

I. General information

NPI: 1356355275
Provider Name (Legal Business Name): MARIAH MAGARGEE PIERETTI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIAH MAGARGEE M.D.

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 E SHORE DR
ITHACA NY
14850-1026
US

IV. Provider business mailing address

904 E SHORE DR
ITHACA NY
14850-1026
US

V. Phone/Fax

Practice location:
  • Phone: 917-669-4198
  • Fax:
Mailing address:
  • Phone: 607-257-6563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number233261
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number233261
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: