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1093313504
MICHAEL J BANOME
BAYSIDE, NY
NPI
1093313504
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Entity Type
Organization
Authorized Contact
MICHAEL JOSEPH BANOME
Physical Therapist
347-804-4956
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
MICHAEL J BANOME
2812 201ST ST
BAYSIDE, NY 11360-2321
Phone number: 347-804-4956
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Mailing Address
MICHAEL J BANOME
2812 201ST ST
BAYSIDE, NY 11360-2321
Phone number: 347-804-4956
Copy
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