Individual
AMISHA BANAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 YORK AVE APT 12J, NEW YORK, NY 10128-6867
(212) 824-8579
(128) 242-3302
Mailing address
1755 YORK AVE APT 12J, NEW YORK, NY 10128-6867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287134
MI
Other
Enumeration date
11/15/2016
Last updated
02/17/2022
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