MICHAEL J BANOME

BAYSIDE, NY
NPI1093313504
Entity TypeOrganization
Authorized ContactMICHAEL JOSEPH BANOME
Physical Therapist
347-804-4956
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
MICHAEL J BANOME
2812 201ST ST
BAYSIDE, NY 11360-2321
Phone number: 347-804-4956
Mailing Address
MICHAEL J BANOME
2812 201ST ST
BAYSIDE, NY 11360-2321
Phone number: 347-804-4956
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