Individual
DR. KENNETH BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 NEW HEMPSTEAD RD, NEW CITY, NY 10956-1132
(845) 362-3200
(845) 290-8180
Mailing address
500 NEW HEMPSTEAD RD, NEW CITY, NY 10956-1132
(845) 362-3200
(845) 290-8180
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
257319
NY
Other
Enumeration date
08/24/2009
Last updated
05/27/2016
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