Bianco, Michael A

Bianco, Michael A is an sole proprietor health care provider with primary practice located at 1000 Montauk Hwy Good Samaritan Hospital, West Islip NY 11795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bianco, Michael A can be contacted via phone (631) 736-4064.

Contact Information

Primary practice address
1000 Montauk Hwy Good Samaritan Hospital West Islip NY 11795
Phone: (631) 736-4064
Fax: (631) 736-1332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 204408-1 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49224 Connecticut
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 204408 New York

Profile Details

NPI number 1649258344
LBN Legal business name Bianco, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Oct 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649258344 NPPES
New York MEDICAID 01781277

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