Provider Demographics
NPI:1669284634
Name:ZWERLEIN, BIANCA ROSE
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:ROSE
Last Name:ZWERLEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:BIANCA
Other - Last Name:CLAIRCIDOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:536 BEACH 72ND ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1127
Mailing Address - Country:US
Mailing Address - Phone:718-905-0495
Mailing Address - Fax:
Practice Address - Street 1:536 BEACH 72ND ST FL 2
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1127
Practice Address - Country:US
Practice Address - Phone:718-905-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter