Individual
DR. MICHAEL ROBERT BISOGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 E MAIN ST, HUNTINGTON, NY 11743-2919
(631) 470-8379
Mailing address
155 E MAIN ST, HUNTINGTON, NY 11743-2919
(631) 470-8379
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
290095
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
07/06/2022
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