| Roberta A Bianco Dopc | |
|
994 W Jericho Tpke Ste 201 Smithtown NY 11787 | |
| (631) 265-4200 | |
| Not Available |
| Full Name | Roberta A Bianco Dopc |
|---|---|
| Speciality | Clinic/Center |
| Location | 994 W Jericho Tpke Ste 201, Smithtown, New York |
| Authorized Official Name and Position | Roberta Bianco (OWNER) |
| Authorized Official Contact | 6312654200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta A Bianco Dopc 994 W Jericho Tpke Ste 201 Smithtown NY 11787-3234 Ph: (631) 265-4200 | Roberta A Bianco Dopc 994 W Jericho Tpke Ste 201 Smithtown NY 11787 Ph: (631) 265-4200 |
| NPI Number | 1609032887 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 0244120715 |
|---|---|
| Medicare Enrollment ID | O20040413001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609032887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Roberta Ann Bianco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356435846 PECOS PAC ID: 8123012028 Enrollment ID: I20040415001355 |
| Provider Name | Phani Nimmagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104813401 PECOS PAC ID: 7416944079 Enrollment ID: I20040427000890 |
| Provider Name | Deborah B Mcbane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487633442 PECOS PAC ID: 7214948413 Enrollment ID: I20060602000120 |
| Provider Name | Sarah M Spadafina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467772962 PECOS PAC ID: 4183858780 Enrollment ID: I20131015001411 |
| Provider Name | Tammy Paige Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740672229 PECOS PAC ID: 2365747037 Enrollment ID: I20160218001371 |
| Provider Name | Alfonsina Larocca-tocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512997 PECOS PAC ID: 6002180064 Enrollment ID: I20170914003442 |
| Provider Name | Sharon Marie Dougherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346676707 PECOS PAC ID: 7618203332 Enrollment ID: I20190801001529 |
Raul R. Trinchet, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 285 Middle Country Road, Suite Ll-2, Smithtown, NY 11787 Phone: 631-979-4541 Fax: 631-979-4546 | |
Pilip Medical Treatments P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Smithtown Byp Ste 305, Smithtown, NY 11787 Phone: 631-656-9040 Fax: 631-648-9661 | |
Omni Medical 360 Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Maple Ave, Smithtown, NY 11787 Phone: 631-813-7788 | |
Optimum Care Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 E Main St Ste 1, Smithtown, NY 11787 Phone: 631-265-4606 Fax: 631-265-4675 | |
Long Island Gastroenterology And Liver Disease P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 Route 25a Ste 307, Smithtown, NY 11787 Phone: 631-265-0062 Fax: 631-265-0590 | |
Infectious Disease Medical Practice Of Ny Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 Route 25a, Suite 308, Smithtown, NY 11787 Phone: 631-864-6111 Fax: 631-864-5004 | |
Vp Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Gilbert Ave, Smithtown, NY 11787 Phone: 347-987-1168 |