Banner, Burton

Banner, Burton is an individual health care provider with primary practice located at 2281 Victory Blvd , Staten Island NY 10314-6625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Banner, Burton can be contacted via phone (718) 494-6400.

Contact Information

Primary practice address
2281 Victory Blvd Staten Island NY 10314-6625
Phone: (718) 494-6400
Fax: (718) 761-6854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 124003 New York

Profile Details

NPI number 1992777999
LBN Legal business name Banner, Burton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992777999 NPPES
Other 9688 GHI HMO INSURANCE
Other 0096152 GHI HMO INSURANCE
Other BB03578110 GHI HMO INSURANCE

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