MR. Marvin Christopher Banzon

NPI #1073082699 in Bayside, New York

Provider Information

NPI Number
1073082699
Entity Type
Individual
Name
MR. Marvin Christopher Banzon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 14, 2018
Last Updated
Nov 14, 2018

Practice Location

Address
22215 NORTHERN BLVD
ZIP Code
11361-3678
Phone
(718) 225-1414

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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