DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD J BIENIEWICZ, MD

Active Sole Proprietor

DR. EDWARD J BIENIEWICZ, MD is a General Practice healthcare provider located in EAST ISLIP, New York. NPI 1750448031 is currently active in the NPPES registry. Verify at CMS.

General Practice · EAST ISLIP, NY

Registration Details

NPI Number
1750448031
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2007 (19.601111490309 yrs)
Last Updated
Mar 7, 2023
Licenses
136080 (NY)
136080 (NY)
136080 (NY)
Sole Proprietor
Yes

Practice Information

Address
167 E MAIN ST
EAST ISLIP, NY, 117302602
Browse NY providers · Browse ZIP 11730
Phone
6316661700
Fax
6316661735
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Surgery
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.