Individual
MILANA BANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 HUDSON ST, NEW YORK, NY 10013-2161
(646) 370-3113
Mailing address
11470 199TH ST PH, SAINT ALBANS, NY 11412-2823
(917) 683-7719
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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