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Individual

DR. JONATHAN BANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
833 NORTHERN BLVD, STE 160, GREAT NECK, NY 11021-5315
(516) 498-8400
(516) 498-8404
Mailing address
833 NORTHERN BLVD, STE 160, GREAT NECK, NY 11021-5315
(516) 498-8400
(516) 498-8404

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
280361-1
NY

Other

Enumeration date
08/12/2008
Last updated
09/16/2015
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