Provider Demographics
NPI:1114962024
Name:MIGNONE, BIAGIO V (MD)
Entity Type:Individual
Prefix:
First Name:BIAGIO
Middle Name:V
Last Name:MIGNONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:955 YONKERS AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3062
Mailing Address - Country:US
Mailing Address - Phone:914-237-2002
Mailing Address - Fax:914-237-3002
Practice Address - Street 1:955 YONKERS AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3060
Practice Address - Country:US
Practice Address - Phone:914-237-2002
Practice Address - Fax:914-237-3002
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY127335207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY31358OtherCOLE VISION
NY442951OtherUNITED HEALTH CARE
NYWS364OtherOXFORD
NYOD0818OtherHEALTHNET
NY036677OtherGHI HMO
NYME7335004683OtherATLANTIS HP CONNECTICARE
NY040426012291OtherFIDELIS
NY10127335OtherANTHEM HEALTH
NY2392546006OtherCIGNA
NY00572014Medicaid
NY499859OtherGHI
NYP0010591OtherRR MEDICARE
NY136677OtherWELLCARE
NY36677OtherGHI HMO
NY4096492OtherAETNA
NY45A281OtherBLUE CROSS
NY100020071OtherAFFINITY
NYME7335004683OtherATLANTIS HP CONNECTICARE
NY45A281Medicare PIN