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Individual

DR. BRIAN ALWIN BANNISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(347) 424-6157
Mailing address
300 2ND AVENUE, MONMOUTH MEDICAL CENTER, LONG BRANCH, NJ 07740

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08847600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
60254784
NY

Other

Enumeration date
10/06/2008
Last updated
01/27/2011
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