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NPI Code Detail

MEDICARE: UNITED MEDICAL MONITORING OF CONNECTICUT, P.C

MEDICARE: UNITED MEDICAL MONITORING OF CONNECTICUT, P.C
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1174114706
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED MEDICAL MONITORING OF CONNECTICUT, P.C
Provider Business Mailing Address
First Line : 50 ROSE PL
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-5311
Country : US
Telephone Number : 888-279-6336
Fax Number : 888-289-5601
Provider Business Practice Location Address
First Line : 50 ROSE PL
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-5311
Country : US
Telephone Number : 888-279-6336
Fax Number : 888-289-5601
Authorized Official
Title or Position : PRESIDENT UNITED MEDICAL MONITORING
Name : DR. MICHAEL BIANCO
Credential : M.D
Telephone Number : 888-279-6336
Provider Enumeration Date : 01/27/2021
Last Update Date : 02/02/2021

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