Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Edna Marisela Biancaniello, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1710658075

Mrs. Edna Marisela Biancaniello, AGACNP is an Acute Care Nurse Practitioner in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

39 Brentwood Rd
Bay Shore, NY 11706-8031
Phone: (631) 591-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F432087 (NY)

Record details

NPI number1710658075
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 25, 2021
Last updated in NPPESSeptember 25, 2021
Certification dateSeptember 24, 2021

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