Individual
MARIA N BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5305
(315) 492-5320
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
171963
NY
208M00000X
Hospitalist Physician
171963
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02398401
—
NY
Enumeration date
06/28/2007
Last updated
10/03/2008
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