Individual
CASSANDRA BANNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 VERNON AVE, MOUNT VERNON, NY 10553-1811
(917) 587-8797
Mailing address
137 VERNON AVE, MOUNT VERNON, NY 10553-1811
(917) 587-8797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
709431-1
NY
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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