Provider Demographics
NPI:1962584276
Name:BIGIO, REBECCA (RN CNS NPP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:BIGIO
Suffix:
Gender:F
Credentials:RN CNS NPP
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:BIGIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:125 RIVERSIDE DRIVE
Mailing Address - Street 2:APT 3D
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:646-872-3672
Mailing Address - Fax:718-549-0611
Practice Address - Street 1:3333 HENRY HUDSON PARKWAY
Practice Address - Street 2:SUITE 1D
Practice Address - City:RIVERDALE
Practice Address - State:NY
Practice Address - Zip Code:10463
Practice Address - Country:US
Practice Address - Phone:718-549-0611
Practice Address - Fax:718-549-0611
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2481081163W00000X
NYF4002111363L00000X
FLAPRN9176611364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02105604Medicaid
NY92N191Medicare ID - Type Unspecified
S89924Medicare UPIN