Bannon Orthopaedics & Sports Medicine

LBN: J. David Bannon Md Pc
Bannon Orthopaedics & Sports Medicine is an health care organization with primary practice located at 543 Bay Rd , Queensbury NY 12804-1441. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. J. David Bannon Md Pc can be contacted via phone (518) 761-2663, or through Bannon, J David via phone (518) 761-2663.

Contact Information

Primary practice address
543 Bay Rd Queensbury NY 12804-1441
Phone: (518) 761-2663
Fax: (518) 761-6831
Website:
Map and Directions
Authorized official contact:
Name: Bannon, J David Doctor of Medicine (MD)
Phone: (518) 761-2663

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 136663 New York

Profile Details

NPI number 1780618983
LBN Legal business name J. David Bannon Md Pc
DBA Doing business as Bannon Orthopaedics & Sports Medicine
Authorized official Bannon, J David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780618983 NPPES
New York MEDICAID 00832751

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