Individual
MARLISA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6336 ROBINSON RD STE 4, LOCKPORT, NY 14094-7994
(716) 727-1559
(716) 727-0369
Mailing address
6336 ROBINSON RD STE 4, LOCKPORT, NY 14094-7994
(716) 727-1559
(716) 727-0369
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NA
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
NY
Enumeration date
10/17/2022
Last updated
10/17/2022
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