Individual
MS. ANGELA A BANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
102 HEMLOCK DR, MASTIC BEACH, NY 11951-3705
(631) 525-8202
Mailing address
102 HEMLOCK DR, MASTIC BEACH, NY 11951-3705
(631) 525-8202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
253516
NY
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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