Bieniewicz, Edward J

Bieniewicz, Edward J is an sole proprietor health care provider with primary practice located at 167 E Main St , East Islip NY 11730-2602. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bieniewicz, Edward J can be contacted via phone (631) 666-1700.

Contact Information

Primary practice address
167 E Main St East Islip NY 11730-2602
Phone: (631) 666-1700
Fax: (631) 666-1735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 136080 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 136080 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 136080 New York

Profile Details

NPI number 1750448031
LBN Legal business name Bieniewicz, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Mar 7th, 2023 - about last year

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 1750448031 NPPES
New York Other 136080 LICENSE NUMBER
New York Other 1000016145 LICENSE NUMBER
New York Other CS126 LICENSE NUMBER
New York Other 0041653 LICENSE NUMBER
New York Other 136080-9 LICENSE NUMBER
New York Other 26504P LICENSE NUMBER
New York Other 7502 LICENSE NUMBER

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