Individual
BERNARD BIVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 267-4263
(718) 906-6201
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 267-4363
(718) 906-6201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
190456
NY
Other
Enumeration date
06/05/2006
Last updated
07/08/2021
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