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NPI Code Detail

MEDICARE: DR EMILIO BIAGIOTTI PHYSICIAN PC

MEDICARE: DR EMILIO BIAGIOTTI PHYSICIAN PC
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
1207R00000XInternal Medicine Physician186469NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1186469OTHERNYLICENSE

General Provider Information

NPI Number : 1538332978
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR EMILIO BIAGIOTTI PHYSICIAN PC
Provider Business Mailing Address
First Line : PO BOX 4386
Second Line :
City : STAMFORD
State : CT
Zip : 06907-0386
Country : US
Telephone Number : 718-863-7925
Fax Number : 718-863-8208
Provider Business Practice Location Address
First Line : 3101 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-5705
Country : US
Telephone Number : 718-863-7925
Fax Number : 718-863-8208
Authorized Official
Title or Position : OWNER
Name : DR. EMILIO BIAGIOTTI
Credential : M.D.
Telephone Number : 718-863-7925
Provider Enumeration Date : 04/07/2008
Last Update Date : 04/07/2008

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