Provider Demographics
NPI:1427254390
Name:BISCOGLIO, MONIKA (LPN)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:BISCOGLIO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 OAKSIDE ROAD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HGHT'S
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:914-245-3389
Mailing Address - Fax:
Practice Address - Street 1:49 LOWER SHAD RD
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-2216
Practice Address - Country:US
Practice Address - Phone:914-764-4416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240249-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01671847Medicaid