Michael J Banome

NPI #1093313504 in Bayside, New York

Provider Information

NPI Number: 1093313504
Entity Type: Organization
Organization Name: Michael J Banome
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2020
Last Updated: Oct 16, 2020

Practice Location

Address: 2812 201ST ST
City: Bayside
State: New York
ZIP Code: 11360-2321
Phone: (347) 804-4956

Authorized Official

Name: MICHAEL JOSEPH BANOME, PT, DPT
Title: PHYSICAL THERAPIST
Phone: (347) 804-4956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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