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Yhe inhabitants of th italian city of Pisa, known around the world for its leaning tower, are called in Italian "Pisani". So this name quite spread in Italy comes from the name of Pisa. But there is also the singular form Pisano.
In USA the surname Pisani ranks about 16,400, not so bad.
Most of the american pisani are from sicilian or southern Italy desxcent.

You'll find the origin of Pisani at http://www.ancestry.com/facts/Pisani-family-history.ashx