Individual
DR. BIANCA REDHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
4441 PURVES ST APT 2601, LONG ISLAND CITY, NY 11101-2994
(202) 415-8724
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
268343
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2010
Last updated
10/20/2021
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