Individual
DR. HOLLY M. BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BELLEVUE HOSPITAL, 462 FIRST AVE., NEW YORK, NY 10016
(212) 562-6425
Mailing address
7 OLD REDDING RD, WESTON, CT 06883-2608
(203) 226-4454
(203) 226-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
148059
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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