Individual
AMY SUE BANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1499 NEW SCOTLAND RD, SLINGERLANDS, NY 12159-9209
(518) 801-7285
Mailing address
551 OLD QUARRY RD, SELKIRK, NY 12158-2109
(518) 801-7286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
354268
NY
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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