Provider Demographics
NPI:1922181247
Name:DEL PINO, ALBERTO JOSE (MD)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:JOSE
Last Name:DEL PINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:357 GENESEE STREET
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421
Mailing Address - Country:US
Mailing Address - Phone:315-363-8800
Mailing Address - Fax:315-363-0103
Practice Address - Street 1:357 GENESEE STREET
Practice Address - Street 2:ONEIDA SURGICAL GROUP PC
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421
Practice Address - Country:US
Practice Address - Phone:315-363-8800
Practice Address - Fax:315-363-0103
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206067208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000911283001OtherBS OF NORTHEASTERN NY
NY01747626Medicaid
9684869OtherGHI
020036944OtherRR MEDICARE
025017OtherMVP
31082OtherHEALTHSOURCE HMO NY
00040270401OtherUNIVERA
546721OtherAETNA US HEALTHCARE
P010206067OtherBLUE SHIELD