IndividualActive
Alyssa Piccillo, DPM
NPI 1235513763 · Foot & Ankle Surgery Podiatrist · Philadelphia, PA
Provider details
- NPI number
- 1235513763
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- SC006672 (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
500 Fairmount Ave Fl 1
Philadelphia, PA 19123-2890
Phone: (267) 909-9594
Fax: (267) 367-5559
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 40068
Philadelphia, PA 19106-0068
Additional practice locations (3)
- 163 N Commerce WayBethlehem, PA 18017-8933Phone: (267) 909-9594Fax: (267) 367-5559
- 443 Mill StBristol, PA 19007-4801Phone: (267) 909-9594Fax: (267) 367-5559
- 235 N Broad StPhiladelphia, PA 19107-1511Phone: (215) 568-3510
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2022-06-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.