Bianca Brockman, PA-C
Physician Assistant in Great Neck, NY. Individual provider (NPI-1).
NPI number1487564969
StatusActive
Last updated in NPPESSep 9, 2026
Details
- NPI
- 1487564969
- Entity type
- Individual (NPI-1)
- Name
- Bianca Brockman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2026
- Certification date
- Sep 8, 2026
- Last updated
- Sep 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 036616 | NY | Yes |
Practice location
805 Northern Blvd Ste 100Great Neck, NY 11021-5342
Phone 516-550-2100
Mailing address
805 Northern Blvd Ste 100Great Neck, NY 11021-5342
Other practice locations
27005 76th Ave
New Hyde Park, NY 11040-1496
New Hyde Park, NY 11040-1496
Phone 718-470-7000
300 Community Dr
Manhasset, NY 11030-3816
Manhasset, NY 11030-3816
Phone 516-562-0100
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All 65 Physician Assistant providers in Great Neck · All 3,221 providers in Great Neck
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