MEDICARE: ALESSANDRO FICHERA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	332325	NY

General Provider Information

NPI Number	:	1255496089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESSANDRO FICHERA MD

Provider Business Mailing Address
First Line	:	1315 YORK AVE # 172
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5304
Country	:	US
Telephone Number	:	469-800-7180
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 YORK AVE # 172
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5304
Country	:	US
Telephone Number	:	469-800-7180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	01/27/2025

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