MEDICARE: VINCENZA BISCEGLIE RN

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
1	163WS0200X	School Registered Nurse	368087	NY

General Provider Information

NPI Number	:	1932474905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENZA BISCEGLIE RN

Provider Business Mailing Address
First Line	:	149 WELLBROOK AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5142
Country	:	US
Telephone Number	:	718-698-5081
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 OCEAN TER
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-4542
Country	:	US
Telephone Number	:	718-815-0186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2012
Last Update Date	:	03/09/2012

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