Banu, Dimitrina

Banu, Dimitrina is an individual health care provider with primary practice located at 374 Stockholm St C/O Faculty Practice Management- Suite 1-37 North, Brooklyn NY 11237-4006. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Banu, Dimitrina can be contacted via phone (718) 963-6551.

Contact Information

Primary practice address
374 Stockholm St C/O Faculty Practice Management- Suite 1-37 North Brooklyn NY 11237-4006
Phone: (718) 963-6551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0031522 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0004445 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 013532 New York

Profile Details

NPI number 1992031124
LBN Legal business name Banu, Dimitrina
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2009
Last updated Nov 8th, 2021 - about 4 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 1992031124 NPPES
New York MEDICAID 03210226

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