Individual
DR. ANGELO BARTOLO BIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4712
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
211764
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
211764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02269987
—
NY
Enumeration date
08/27/2006
Last updated
01/11/2016
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