MRS. AMANDA THERESA BIANCANIELLO


Address: 100 Hillside Ave, Saint James, NY 11780-3131
Phone: 6318077911

MRS. AMANDA THERESA BIANCANIELLO (NPI# 1275884140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275884140
Entity Type Individual
Full Name MRS. AMANDA THERESA BIANCANIELLO
Credential LMSW
Practice Address 100 Hillside Ave
Saint James
NY 11780-3131
Practice Telephone 6318077911
Mailing Telephone 6318077913
Enumeration Date 2012-10-02
Last Update Date 2012-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
72081231 NY Behavioral Health & Social Service Providers

Office Location

Street Address 100 HILLSIDE AVE
City SAINT JAMES
State NY
Zip Code 11780-3131

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1962822502 Eugene S. Rosati, Md Internal Medicine 230 Lincoln Ave, St James, NY 11780 2014-04-22
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City SAINT JAMES
Zip Code 11780

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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