Individual
MS. ANGELYN BANNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 W 116 ST #4B, NEW YORK, NY 10026-2674
(212) 876-2406
(212) 876-2406
Mailing address
64 W 116 ST #4B, NEW YORK, NY 10026-2674
(212) 876-2406
(212) 876-2406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290793
NY
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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