Individual
ANNECIA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17835 145TH RD, 2ND FLOOR, JAMAICA, NY 11434-5034
(347) 605-7949
Mailing address
17835 145TH RD, 2ND FLOOR, JAMAICA, NY 11434-5034
(347) 605-7949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 318363
NY
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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