Individual
DR. JOSEPH ANTHONY BIFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HSC LEVEL 4 ROOM 120, STONY BROOK UNIVERSITY HOSPITAL -RADIOLOGY, STONY BROOK, NY 11794-8460
(631) 444-7955
(631) 444-7538
Mailing address
1 GUTHRIE DR, CORNING HOSPITAL -DEPT OF RADIOLOGY, CORNING, NY 14830-8460
(570) 888-5858
(607) 937-7647
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
192746-1
NY
2085R0202X
Diagnostic Radiology Physician
MD072317L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019362860003
—
PA
05
—
02370583
—
NY
01
—
300138269
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039853
MEDICARE GROUP
PA
01
—
GU058887
MEDICARE GROUP
PA
01
—
P00196036
RR MEDICARE PIN
NY
Enumeration date
02/08/2006
Last updated
04/02/2021
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