Individual provider · Type 1 NPI

Ellery Bianco, PA

Medical Physician Assistant · Schenectady, NY

NPI number 1174196505 Active

Practice location

1101 Nott St
Schenectady, NY 12308-2489

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1174196505

Ellery Bianco, PA's National Provider Identifier is 1174196505, issued on Jul 22, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Schenectady, NY. The record was last updated on Jul 22, 2021.