Bifano, Ellen Marie

Bifano, Ellen Marie is an individual health care provider with primary practice located at 736 Irving Ave Rm 9103 , Syracuse NY 13210-1687. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bifano, Ellen Marie can be contacted via phone (315) 470-7984.

Contact Information

Primary practice address
736 Irving Ave Rm 9103 Syracuse NY 13210-1687
Fax: (315) 470-2923
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 141219 New York

Profile Details

NPI number 1841330073
LBN Legal business name Bifano, Ellen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1841330073 NPPES
New York MEDICAID 00548141

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