Individual
ERIN BANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WALL ST FL 9, NEW YORK, NY 10005-2178
(516) 663-2097
Mailing address
14 WALL ST FL 9, NEW YORK, NY 10005-2178
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
263030
NY
207R00000X
Internal Medicine Physician
263030
NY
Other
Enumeration date
05/08/2007
Last updated
02/12/2024
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