Doctor Name: | DANA MARIE BIGNAMI |
NPI Number: | 1003146903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R-PAC |
License Number: | 013715-1 |
Business Practice Address: | 8616 Jamaica Ave Woodhaven, NY - 114212042 |
Business Phone Number: | 7188050037 |
Business Fax Number: | |
Mailing Address: | 69 Lawn Ave, WEST ISLIP |
State: | NY |
Postal Code: | 117953023 |
Phone Number: | 6316715809 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2009 |
NPI Last Update Date: | 12/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 013715-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |