Provider Demographics
NPI:1346009636
Name:ULLOA, BIANCA ASZUCENA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:ASZUCENA
Last Name:ULLOA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Mailing Address - Street 2:505 EAST 70TH STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:212-746-2900
Mailing Address - Fax:212-746-8051
Practice Address - Street 1:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Practice Address - Street 2:505 EAST 70TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:212-746-2900
Practice Address - Fax:212-746-8051
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program