Organization
LONG ISLAND ANESTHESIOLOGISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BIANCO MD (EXECUTIVE COMMITTEE MEMBER)
(888) 235-8924
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, GOOD SAMARITON HOSPITAL, WEST ISLIP, NY 11795
(888) 235-8924
Mailing address
PO BOX 95000 LB# 7595, PHILADELPHIA, PA 19195-7595
(888) 235-8924
(551) 230-6201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01856239
—
NY
Enumeration date
09/07/2006
Last updated
03/31/2021
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