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Dr. Edward J Bieniewicz, MD
General Practice Physician in East Islip, New York
NPI 1750448031

Edward J Bieniewicz is a General Practice Physician based in East Islip, NY. Edward J Bieniewicz practices in East Islip, NY and has the professional credentials of MD. The NPI Number for Edward J Bieniewicz is 1750448031 and holds a License No. 136080 (New York).

The current practice location address for Edward J Bieniewicz is 167 E Main St, East Islip, NY and can be reached out via phone at 631-666-1700 and via fax at 631-666-1735.

Location: 167 E Main St, East Islip, NY, 11730-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750448031
Provider Name
Edward J Bieniewicz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
167 E Main St, East Islip, NY, 11730-2602
Phone Number
631-666-1700
Fax Number
631-666-1735
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136080 01 NY LICENSE NUMBER
1000016145 01 NY AFFINITY PROVIDER NUMBER
CS126 01 NY OXFORD PROVIDER NUMBER
0041653 01 NY AETNA PROVIDER NUMBER
136080-9 01 NY WORKERS COMP BOARD AUTH #
26504P 01 NY HIP PRIS NUMBER
7502 01 NY VYTRA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
167 E Main St
City
East Islip
State
New York
Zip
11730-2602
Phone Number
631-666-1700
Fax Number
631-666-1735
person
Provider Business Mailing Address Details
Address
167 E Main St
City
East Islip
State
New York
Zip
11730-2602
Phone Number
631-666-1700
Fax Number
631-666-1735
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
136080 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
136080 (New York)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
136080 (New York)
Definition
Definition to come...
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