Individual
DR. JOHN ANTHONY BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1789 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-2792
(516) 795-3033
Mailing address
115 EILEEN WAY, SYOSSET, NY 11791-5323
(516) 795-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
306943
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
306943
NY
Other
Enumeration date
04/10/2019
Last updated
02/12/2025
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