Provider Demographics
NPI:1952664351
Name:VOLFINZON, BIANA (DO)
Entity Type:Individual
Prefix:MS
First Name:BIANA
Middle Name:
Last Name:VOLFINZON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 RADIGAN AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-4500
Mailing Address - Country:US
Mailing Address - Phone:718-644-6932
Mailing Address - Fax:
Practice Address - Street 1:187 ARBUTUS AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-4500
Practice Address - Country:US
Practice Address - Phone:718-644-6932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281407208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist