Provider Demographics
NPI:1780037739
Name:BIANCO, DONNA I
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:I
Last Name:BIANCO
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 1:11 COLONEL CT
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-3010
Mailing Address - Country:US
Mailing Address - Phone:914-779-0925
Mailing Address - Fax:
Practice Address - Street 1:11 COLONEL CT
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-3010
Practice Address - Country:US
Practice Address - Phone:914-779-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency