Banzon, Jose Basa

Banzon, Jose Basa is an individual health care provider with primary practice located at 113 Franklin Ave , Franklin Square NY 11010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Banzon, Jose Basa can be contacted via phone (516) 354-2707.

Contact Information

Primary practice address
113 Franklin Ave Franklin Square NY 11010
Phone: (516) 354-2707
Fax: (516) 354-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X NY116507 New York

Profile Details

NPI number 1255498713
LBN Legal business name Banzon, Jose Basa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1255498713 NPPES
New York MEDICAID 00215792

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