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NPI Code Detail

MEDICARE: DEANNA LEE BINGHAM NP

MEDICARE:   DEANNA LEE BINGHAM  NP
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
1363LW0102XWomen's Health Nurse PractitionerF421715-01NY

General Provider Information

NPI Number : 1699760850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA LEE BINGHAM NP
Provider Business Mailing Address
First Line : 1795 RIVERSIDE DR APT 4A
Second Line :
City : NEW YORK
State : NY
Zip : 10034-5368
Country : US
Telephone Number : 212-342-3062
Fax Number :
Provider Business Practice Location Address
First Line : 575 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-5002
Country : US
Telephone Number : 212-342-3062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 02/28/2026

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