MARVIN CHRISTOPHER BANZON

BAYSIDE, NY
NPI1073082699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  333430-1)
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
Mr. MARVIN CHRISTOPHER BANZON
22215 NORTHERN BLVD
BAYSIDE, NY 11361-3678
Phone number: 718-225-1414
Mailing Address
Mr. MARVIN CHRISTOPHER BANZON
7543 197TH ST
FLUSHING, NY 11366-1816
Phone number: 718-219-6036