Individual
BIANCA CAMPANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3031 79TH ST, APT 1, EAST ELMHURST, NY 11370-1509
(917) 213-6640
Mailing address
3031 79TH ST, APT 1, EAST ELMHURST, NY 11370-1509
(917) 213-6640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018981
NY
363AM0700X
Medical Physician Assistant
Primary
018981
NY
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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