Individual
MICHAEL A BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL, WEST ISLIP, NY 11795
(631) 736-4064
(631) 736-1332
Mailing address
3 BOYLE ROAD, SELDEN, NY 11784
(631) 736-4064
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
204408
NY
207L00000X
Anesthesiology Physician
Primary
204408-1
NY
207L00000X
Anesthesiology Physician
49224
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01781277
—
NY
Enumeration date
01/04/2006
Last updated
10/12/2015
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