Healthcare Provider Details

I. General information

NPI: 1154323012
Provider Name (Legal Business Name): BRIAN C ALESSI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 05/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 TURIN RD BEECHES PROFESSIONAL CAMPUS
ROME NY
13440-1900
US

IV. Provider business mailing address

7900 TURIN RD BEECHES PROFESSIONAL CAMPUS
ROME NY
13440-1900
US

V. Phone/Fax

Practice location:
  • Phone: 315-336-3380
  • Fax:
Mailing address:
  • Phone: 315-336-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberNY175847-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number175847-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: