Individual
DR. MICHAEL C BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2965 OCEAN PKWY STE 200, BROOKLYN, NY 11235-8014
(718) 280-5573
(718) 301-1099
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(847) 593-8460
(847) 919-4615
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101238100
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
167314
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010229871
—
VA
05
—
01410860
—
NY
Enumeration date
06/02/2006
Last updated
10/12/2018
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