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Individual

ERIC EBANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
1183 TOWNLINE RD, NESCONSET, NY 11767-2619

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711503
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
711503
NY

Other

Enumeration date
08/22/2022
Last updated
01/25/2023
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