Biancaniello, Thomas

Biancaniello, Thomas is an sole proprietor health care provider with primary practice located at 57 Southern Blvd Suite 3, Nesconset NY 11767-1091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Biancaniello, Thomas can be contacted via phone (631) 265-3300.

Contact Information

Primary practice address
57 Southern Blvd Suite 3 Nesconset NY 11767-1091
Phone: (631) 265-3300
Fax: (631) 265-3303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 127267 New York

Profile Details

NPI number 1407899388
LBN Legal business name Biancaniello, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Oct 5th, 2012 - about 12 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 1407899388 NPPES
New York Other 4313729 AETNA
New York MEDICAID 00524474 AETNA
New York Other 133908648 AETNA

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