Individual
JAY EDWARD BANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABO
Contact information
Practice address
30 TRINITY POINT DR, WASHINGTON, PA 15301-2974
(724) 229-7769
(724) 229-7792
Mailing address
30 TRINITY POINT DR, WASHINGTON, PA 15301-2974
(724) 229-7769
(724) 229-7792
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
031002
PA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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