Individual
ALAN BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HAVEN AVE APT 28A, NEW YORK, NY 10032-2626
(347) 508-9088
Mailing address
100 HAVEN AVE APT 28A, NEW YORK, NY 10032-2626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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