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NPI Code Detail

MEDICARE: DR. EMILIO JOSEPH BIAGIOTTI M.D.

MEDICARE:  DR. EMILIO JOSEPH BIAGIOTTI  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
1207R00000XInternal Medicine Physician186469NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2186469OTHERNYLICENSE NUMBER

General Provider Information

NPI Number : 1639258924
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILIO JOSEPH BIAGIOTTI M.D.
Provider Business Mailing 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
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 09/06/2012

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