Individual
MELISSA BANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 FRANKLIN AVE, GARDEN CITY, NY 11530-5806
(516) 294-4700
Mailing address
531 CHESTER ST, UNIONDALE, NY 11553-2422
(347) 200-6557
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616224681
DRIVER LICENSE
NY
Enumeration date
04/08/2022
Last updated
04/08/2022
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