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NPI Code Detail

MEDICARE: DR. STEVEN RICHARD BANAT MD

MEDICARE: DR. STEVEN RICHARD BANAT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician192006NY

General Provider Information

NPI Number : 1427017391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN RICHARD BANAT MD
Provider Business Mailing Address
First Line : 4771 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-6315
Country : US
Telephone Number : 718-948-8412
Fax Number : 718-356-2792
Provider Business Practice Location Address
First Line : 4771 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-6315
Country : US
Telephone Number : 718-948-8412
Fax Number : 718-356-2792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN RICHARD BANAT MD” Practice Location

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