Dr. Picano holds an undergraduate degree from the University of Rochester and a Doctorate of Medicine from S.U.N.Y. Buffalo School of Medicine (1984). He served his internship in Internal Medicine at Erie County Medical Center in Buffalo and his residency in Diagnostic Radiology at Lahey Clinic Medical Center in Burlington, Massachusetts in 1990 Dr. Picano completed a fellowship in Neuroradiology at Harvard Medical School's Massachusetts General Hospital. He received postgraduate training in Stereo-tactic Breast Biopsies (1995) from the Presbyterian Breast Center in Charlotte, North Carolina. Dr. Picano holds certification from the American Board of Radiology and is a Senior Member of the American Society of Neuroradiology.

As a practicing physician with Radiology Associates of New Hartford, Dr. Picano holds the following positions:

Medical Director at:
• Cooperative Magnetic Imaging (CMI) in Utica
• The Imaging Center in Utica

Vice Chairman of the Medical Imaging Department
• Rome Memorial Hospital in Rome

Attending Radiologist at:
• Faxton-St. Luke's Healthcare in Utica
• Rome Memorial Hospital in Rome
• The Imaging Center in Utica

Professional Affiliation with:
• New Hartford Scanner Associates in Utica
• Community Memorial Hospital in Hamilton
• Cooperative Magnetic Imaging (CMI), Utica
• New York Medical Imaging
(NYMI-statewide imaging network)
• Empire Diagnostic Imaging (EDI), Utica