Bisangwa, Alexis

Bisangwa, Alexis is an sole proprietor health care provider with primary practice located at 4359 147Th St , Flushing NY 11355-1739. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bisangwa, Alexis can be contacted via phone (718) 454-0735.

Contact Information

Primary practice address
4359 147Th St Flushing NY 11355-1739
Phone: (718) 454-0735
Fax: (718) 454-0736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 212769 New York
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 212769 New York

Profile Details

NPI number 1861563652
LBN Legal business name Bisangwa, Alexis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Nov 9th, 2010 - about 16 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 1861563652 NPPES
New York Other 526404 VALUE OPTIONS MHS NUMBER
New York MEDICAID 01996721 VALUE OPTIONS MHS NUMBER

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