Physician Compare National (NPI:1942276894)

HEALTHCARE PROVIDER: GASPARE A POLIZZI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1942276894
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234131897
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090415000103
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POLIZZI
	Individual professional last name
Provider First Name	GASPARE
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1658262084
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	164
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	599 STATE ROUTE 32
	Group Practice or individual's line 1 address
City	HIGHLAND MILLS
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	109305200
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8459282550
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330264
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKE'S CORNWALL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330205
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ANTHONY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y