MICHAEL BANOME

PHYSICAL THERAPY DOCTOR PC

Dr MICHAEL BANOME is a male medical professional, specializing in Physical Therapy. He graduated in 2015.

Contact

PHYSICAL THERAPY DOCTOR PC

21273 26TH AVE
BAYSIDE
NY
113601943

Tel: 7187472019

MICHAEL BANOME Information

Npi 1659737393
Pac Id 9739478223
Professional Enrollment Id I20160524000275
Last Name BANOME
First Name MICHAEL
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PHYSICAL THERAPY DOCTOR PC
Group Practice Pac Id 0446491427
Number Of Group Practice Members 6
Line 1 Street Address 21273 26TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BAYSIDE
State NY
Zip Code 113601943
Phone Number 7187472019
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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