Individual
NICOLE BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(914) 760-1343
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(914) 760-1343
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431813
NY
Other
Enumeration date
11/10/2020
Last updated
11/23/2020
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