Individual
ALFRED BANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 MARTIN ST, RIVER VALE, NJ 07675-5944
(201) 245-3901
Mailing address
306 MARTIN ST, RIVER VALE, NJ 07675-5944
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
019631-1
NY
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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