Individual
JOHVANI E BANTILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
650 STATE ST, WATERTOWN, NY 13601-2839
(315) 755-1251
(315) 291-6601
Mailing address
720 MILL ST APT 1, WATERTOWN, NY 13601-1566
(315) 775-7649
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
915663
NY
Other
Enumeration date
05/16/2024
Last updated
10/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us