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NPI Code Detail

MEDICARE: ANGELO BIASE, D.C., P.C.

MEDICARE: ANGELO BIASE, D.C., 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
1111N00000XChiropractorX008499NY

General Provider Information

NPI Number : 1780815324
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELO BIASE, D.C., P.C.
Provider Business Mailing Address
First Line : 157 N OCEAN AVE
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-2016
Country : US
Telephone Number : 631-289-3067
Fax Number :
Provider Business Practice Location Address
First Line : 157 N OCEAN AVE
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-2016
Country : US
Telephone Number : 631-289-3067
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANGELO BIASE
Credential : D.C.
Telephone Number : 631-289-3067
Provider Enumeration Date : 07/30/2009
Last Update Date : 07/30/2009

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