Individual
ANNEMARIE LAURRI BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10175 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2941
(716) 205-0170
Mailing address
10175 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-2941
(716) 205-0170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290107
NY
Other
Enumeration date
04/06/2015
Last updated
12/17/2018
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