Bannon, Amy
Bannon, Amy is an individual health care provider with primary practice located at 314 S Manning Blvd , Albany NY 12208-1708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bannon, Amy can be contacted via phone (518) 453-2273.Contact Information
Primary practice address
314 S Manning Blvd
Albany NY 12208-1708
Phone: (518) 453-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 012432 | New York |
Profile Details
| NPI number | 1821037656 |
|---|---|
| LBN Legal business name | Bannon, Amy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821037656 | NPPES |
| New York | MEDICAID | 00012432 |
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