Individual
MR. JOHN FRANCIS BISACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BAY SHORE RD, NORTH BABYLON, NY 11703-2823
(631) 586-2700
Mailing address
55 WATER ST, 12TH FLOOR CREDENTIALING, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1625261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00944821
—
NY
Enumeration date
02/14/2006
Last updated
02/02/2017
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