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Organization

MICHAEL A. BIANCO, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL A BIANCO MD (MEDICAL DOCTOR)
(631) 736-3372
Entity
Organization

Contact information

Practice address
3 BOYLE RD, SELDEN, NY 11784-4030
(631) 736-3372
(631) 736-1332
Mailing address
3 BOYLE RD, SELDEN, NY 11784-4030
(631) 736-3372
(631) 736-1332

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
204408-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01781277
NY
Enumeration date
02/27/2007
Last updated
08/22/2020
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