Individual
BRACHA L. BANAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
51 PARKER BLVD, MONSEY, NY 10952
(347) 760-8197
Mailing address
51 PARKER BLVD, MONSEY, NY 10952
(347) 760-8197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339706-1
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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