Individual
FATIMA BANISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 W RIDGE RD, ROCHESTER, NY 14615-2927
(585) 254-4472
Mailing address
279 W RIDGE RD, ROCHESTER, NY 14615-2927
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
094193
NY
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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