Provider Demographics
NPI:1427211960
Name:LUCCA BIANCHI, ANABELLA (MD)
Entity Type:Individual
Prefix:
First Name:ANABELLA
Middle Name:
Last Name:LUCCA BIANCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E 70TH ST
Mailing Address - Street 2:EMPLOYEE HEALTH AND WELLNESS SERVICES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5405
Mailing Address - Country:US
Mailing Address - Phone:646-888-4000
Mailing Address - Fax:646-888-4017
Practice Address - Street 1:222 E 70TH ST
Practice Address - Street 2:EMPLOYEE HEALTH AND WELLNESS SERVICES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5405
Practice Address - Country:US
Practice Address - Phone:646-888-4000
Practice Address - Fax:646-888-4017
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT192158390200000X
PAMD443735207R00000X
NY280162-1207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine