Individual
DR. DYLAN WADE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5290
Mailing address
3300 N 7TH AVE UNIT 403, PHOENIX, AZ 85013-4190
(774) 271-1056
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
08/29/2024
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