Bannerman, Alfred Clayton

Bannerman, Alfred Clayton is an sole proprietor health care provider with primary practice located at 8900 Van Wyck Expressway , Jamaica NY 11418-2832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bannerman, Alfred Clayton can be contacted via phone (718) 206-7089.

Contact Information

Primary practice address
8900 Van Wyck Expressway Jamaica NY 11418-2832
Phone: (718) 206-7089
Fax: (718) 206-7055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 111142 New York

Profile Details

NPI number 1649231366
LBN Legal business name Bannerman, Alfred Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Nov 25th, 2014 - about 12 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 1649231366 NPPES
Colorado MEDICAID 14071762
Colorado MEDICAID 42551056
Colorado MEDICAID 084255

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