Healthcare Provider Details

I. General information

NPI: 1205086907
Provider Name (Legal Business Name): STEVEN BIONDI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 09/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 ERIE CANAL DR SUITE E
ROCHESTER NY
14626-4605
US

IV. Provider business mailing address

121 ERIE CANAL DR SUITE E
ROCHESTER NY
14626-4605
US

V. Phone/Fax

Practice location:
  • Phone: 585-227-9920
  • Fax: 585-225-6574
Mailing address:
  • Phone: 585-227-9920
  • Fax: 585-225-6574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: