Individual
ANDREA ESPERANZA BISONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
2848 TILROSE AVE APT 2E, OCEANSIDE, NY 11572-1238
(516) 325-4450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024106
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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