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Individual

DR. JOSEPH C BIONDOLILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0038391
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020345201
UNIVERA
NY
01
000300107001
BLUE CROSS BLUE SHIELD
NY
01
15568
SPECTERA
NY
01
161150836
TRICARE
NY
01
330823
NATIONAL VISION ADMINISTR
NY
01
612
DAVIS VISION
NY
01
7166491010
VISION SERVICE PLAN
NY
01
7209491
INDEPENDENT HEALTH
NY
01
NY3839
VISION BENEFITS OF AMERIC
NM
01
NY3839
EYEMED
NY
Enumeration date
09/08/2005
Last updated
03/03/2011
Update your record

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