Organization
ROBERTA A BIANCO DOPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA BIANCO (OWNER)
(631) 265-4200
Entity
Organization
Contact information
Practice address
994 W JERICHO TPKE STE 201, SMITHTOWN, NY 11787
(631) 265-4200
Mailing address
994 W JERICHO TPKE STE 201, SMITHTOWN, NY 11787-3234
(631) 265-4200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2018
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