Provider Demographics
NPI:1558747436
Name:PALMISANO, BIANCA
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:PALMISANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 I ST SW
Mailing Address - Street 2:APT 413
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-4230
Mailing Address - Country:US
Mailing Address - Phone:412-398-0396
Mailing Address - Fax:
Practice Address - Street 1:355 I ST SW
Practice Address - Street 2:APT 413
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4230
Practice Address - Country:US
Practice Address - Phone:412-398-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator