Individual
CARRIE BISIGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
178 COUNTRY RD, MEDFORD, NY 11763-1636
(631) 805-4221
Mailing address
178 COUNTRY RD, MEDFORD, NY 11763-1636
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
NY
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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