ALFRED BANAN

RIVER VALE, NJ
NPI1720562614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: NY  019631-1)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
ALFRED BANAN
306 MARTIN ST
RIVER VALE, NJ 07675-5944
Phone number: 201-245-3901
Mailing Address
ALFRED BANAN
306 MARTIN ST
RIVER VALE, NJ 07675-5944
Phone number:
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