MEDICARE: DR. H BIANCA JAPAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	201651	NY
2	207R00000X	Internal Medicine Physician	ME92089	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194724294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. H BIANCA JAPAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 704
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11553-0704
Country	:	US
Telephone Number	:	516-481-2080
Fax Number	:	516-481-2095

Provider Business Practice Location Address
First Line	:	1151 FRONT ST
Second Line	:	STE 115
City	:	UNIONDALE
State	:	NY
Zip	:	11553-2035
Country	:	US
Telephone Number	:	516-481-2080
Fax Number	:	516-481-2095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/16/2016

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