J. David Bannon MD PC
NPI #1780618983 in Queensbury, New York
Provider Information
- NPI Number
- 1780618983
- Entity Type
- Organization
- Organization Name
- J. David Bannon MD PC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 543 BAY RD
- City
- Queensbury
- State
- New York
- ZIP Code
- 12804-1441
- Phone
- (518) 761-2663
Authorized Official
- Name
- DR. J DAVID BANNON, MD
- Title
- PRESIDENT
- Phone
- (518) 761-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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