Individual
MS. BIANCA BANAGA BISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTTH-MA,OTR/L
Contact information
Practice address
27 CEDARLAWN BLVD, VALLEY STREAM, NY 11580-2001
(347) 821-7287
(516) 612-2894
Mailing address
27 CEDARLAWN BLVD, VALLEY STREAM, NY 11580-2001
(347) 821-7287
(516) 612-2894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022107
NY
Other
Enumeration date
05/25/2020
Last updated
05/25/2020
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