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NPI Code Detail

MEDICARE: DR. ANGELO M BIASE DC

MEDICARE:  DR. ANGELO M BIASE  DC
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
1111N00000XChiropractorX0084991NY

General Provider Information

NPI Number : 1750474946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELO M BIASE DC
Provider Business Mailing Address
First Line : 105 MEDFORD AVE
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-1223
Country : US
Telephone Number : 631-289-6767
Fax Number : 631-289-6790
Provider Business Practice Location Address
First Line : 105 MEDFORD AVE
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-1223
Country : US
Telephone Number : 631-289-6767
Fax Number : 631-289-6790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 11/15/2024

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Directions to “ DR. ANGELO M BIASE DC” Practice Location

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