Bannon, Jitladda

Bannon, Jitladda is an individual health care provider with primary practice located at 25 W Oak St , Farmingdale NY 11735-3121. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bannon, Jitladda can be contacted via phone (516) 376-1503.

Contact Information

Primary practice address
25 W Oak St Farmingdale NY 11735-3121
Phone: (516) 376-1503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 033328 New York

Profile Details

NPI number 1164299657
LBN Legal business name Bannon, Jitladda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2023
Last updated Dec 5th, 2023 - about last year

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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