1962584276 NPI number — MS. REBECCA BIGIO RN CNS NPP

Table of content: MS. REBECCA BIGIO RN CNS NPP (NPI 1962584276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962584276 NPI number — MS. REBECCA BIGIO RN CNS NPP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIGIO
Provider First Name:
REBECCA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN CNS NPP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIGIO
Provider Other First Name:
BECKY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1962584276
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 RIVERSIDE DRIVE
Provider Second Line Business Mailing Address:
APT 3D
Provider Business Mailing Address City Name:
NEW YORK CITY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-872-3672
Provider Business Mailing Address Fax Number:
718-549-0611

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3333 HENRY HUDSON PARKWAY
Provider Second Line Business Practice Location Address:
SUITE 1D
Provider Business Practice Location Address City Name:
RIVERDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-549-0611
Provider Business Practice Location Address Fax Number:
718-549-0611
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  2481081 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 363L00000X , with the licence number: F4002111 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 364S00000X , with the licence number: APRN9176611 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02105604 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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