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1992777999
BURTON BANNER
STATEN ISLAND, NY
NPI
1992777999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 124003)
Enumeration Date
2006-02-03
Last Update Date
2007-07-08
Business Address
Dr. BURTON BANNER M.D.
2281 VICTORY BLVD
STATEN ISLAND, NY 10314-6625
Phone number: 718-494-6400
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Mailing Address
Dr. BURTON BANNER M.D.
2281 VICTORY BLVD
STATEN ISLAND, NY 10314-6625
Phone number: 718-494-6400
Copy
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