Jennifer Bannen
NPI #1225916331 in Middle Island, New York
Provider Information
- NPI Number
- 1225916331
- Entity Type
- Individual
- Name
- Jennifer Bannen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 26, 2025
- Last Updated
- Aug 26, 2025
Practice Location
- Address
- PO BOX 12
- City
- Middle Island
- State
- New York
- ZIP Code
- 11953-0012
- Phone
- (631) 924-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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