Individual
MICHELLE BANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7800
Mailing address
17 DAHN DR, SPARTA, NJ 07871-3457
(862) 268-6394
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
316288
NY
Other
Enumeration date
03/22/2017
Last updated
07/27/2022
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