Individual
FERDINAND BELENO BANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8862
(718) 901-2865
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8862
(718) 901-2865
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
232661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232661
MEDICAL LICENCE
NY
Enumeration date
02/15/2007
Last updated
07/08/2007
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