Banjo Catfish Emergency Physician Services Pllc

NPI #1194118547 in Irving, New York

Provider Information

NPI Number: 1194118547
Entity Type: Organization
Organization Name: Banjo Catfish Emergency Physician Services Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 10, 2015
Last Updated: Mar 11, 2015

Practice Location

Address: 845 ROUTE 5 AND 20
City: Irving
State: New York
ZIP Code: 14081-9706
Phone: (469) 401-2386

Authorized Official

Name: JOSEPH GATEWOOD, MD
Title: PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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