Individual
CORNELIA BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 LAFAYETTE RD, APT.211, SYRACUSE, NY 13205-2929
(315) 264-5107
Mailing address
121 LAFAYETTE RD, APT.211, SYRACUSE, NY 13205-2929
(315) 264-5107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290335-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290335-1
LPN LICENSE NUMBER
NY
Enumeration date
01/24/2014
Last updated
01/24/2014
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