Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 211764 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 211764 | NY |
NPI | 1083722300 |
---|---|
Provider Name | Dr. Angelo Bartolo Biviano |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 11/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02269987 | (05) | NY |
H68784 | (02) | NY |