Individual
JINAN BANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
(718) 817-7900
Mailing address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
(718) 817-7900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01011678
NY
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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