Healthcare Provider Details

I. General information

NPI: 1689365850
Provider Name (Legal Business Name): MARIA ALEJANDRA BIANCHI REY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 OLD COUNTRY RD
PLAINVIEW NY
11803-4914
US

IV. Provider business mailing address

888 OLD COUNTRY RD
PLAINVIEW NY
11803-4914
US

V. Phone/Fax

Practice location:
  • Phone: 516-719-2543
  • Fax: 516-719-2766
Mailing address:
  • Phone: 516-719-2543
  • Fax: 516-719-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number345710-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: