Individual
MS. ABENA BANFUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
662 E 82ND ST, BROOKLYN, NY 11236-3306
(212) 203-2761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345344-01
NY
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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