Daniel Joseph Bannen JR. RPA-C

NPI 1639320724 - Physician Assistant - 363A00000X

NPI Details
NPI 1639320724
Gender Male
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2589 RAMONA ST
EAST MEADOW NY, 11554-5319, US
Phone (516) 785-5416
Fax
Business Location
2589 RAMONA ST.
EAST MEADOW NY, 11554, US
Phone (516) 785-5416
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 012191-1
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According to our database, Daniel Joseph Bannen JR. RPA-C NPI is 1639320724, taxonomy code is 363A00000X and license number is 012191-1, license state is located at New York. Daniel Joseph Bannen JR. RPA-C physically located at 2589 Ramona St, East Meadow NY, 11554-5319. NPI Number Daniel Joseph Bannen JR. RPA-C has the Individual type.

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1639320724 NPI number is provided on an as is basis without warranty of any kind. 1639320724 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Joseph Bannen JR. RPA-C are for informational purposes only.