Individual
CLAUDE M BANATTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55-24 VAN HORN ST, ELMHURST, NY 11373-4360
(718) 446-3308
Mailing address
55-24 VAN HORN ST, ELMHURST, NY 11373-4360
(718) 446-3308
(718) 672-3101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
480165-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0432656
EMPLOYEE ID
NY
01
—
480165-1
LICENSE NUMBER
NY
Enumeration date
03/09/2012
Last updated
03/09/2012
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