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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1255498713 | NPPES |
| New York | MEDICAID | 00215792 |
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