Individual
ELLERY BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2489
(518) 243-4000
Mailing address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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