Individual
PAMELA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
150 HEWLETT AVE, MERRICK, NY 11566-3932
(516) 379-4900
(516) 379-4276
Mailing address
150 HEWLETT AVE, MERRICK, NY 11566-3932
(516) 379-4900
(516) 379-4276
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
186987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186987
NYS LICENSE
NY
Enumeration date
10/27/2006
Last updated
03/07/2023
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