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General NPI Number Information
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NPI Number | 1841085255
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Entity Type | Individual
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Provider Name | MICHAEL BIANCO III DPT
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Gender | Male
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 800 E GATE BLVD
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City | GARDEN CITY
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State | NY
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Zip | 11530-2105
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Country | US
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Telephone | 516-745-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 27 GOLF CLUB CIR
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City | MANORVILLE
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State | NY
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Zip | 11949-2828
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Country | US
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Telephone | 631-294-3839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number | 052531
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 052531
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 052531
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 052531
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License Number State | NY
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