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Mrs. Edna Marisela Biancaniello, AGACNP
Acute Care Nurse Practitioner in Bay Shore, New York
NPI 1710658075

Edna Marisela Biancaniello is an Acute Care Nurse Practitioner based in Bay Shore, NY and is specialized in Acute Care. Edna Marisela Biancaniello practices in Bay Shore, NY and has the professional credentials of AGACNP. The NPI Number for Edna Marisela Biancaniello is 1710658075 and holds a License No. F432087 (New York).

The current practice location address for Edna Marisela Biancaniello is 39 Brentwood Rd, Bay Shore, NY and can be reached out via phone at 631-591-7400.

Location: 39 Brentwood Rd, Bay Shore, NY, 11706-0233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710658075
Provider Name
Edna Marisela Biancaniello
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
39 Brentwood Rd, Bay Shore, NY, 11706-0233
Phone Number
631-591-7400
Fax Number
Provider Enumeration Date
09/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
39 Brentwood Rd
City
Bay Shore
State
New York
Zip
11706-8031
Phone Number
631-591-7400
Fax Number
person
Provider Business Mailing Address Details
Address
39 Brentwood Rd
City
Bay Shore
State
New York
Zip
11706-8031
Phone Number
631-591-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
F432087 (New York)
Definition
Definition to come...
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