Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 247492 | NY |
Y | 207R00000X | Internist | 247492 | NY |
Y | 111NI0900X | Internist | 247492 | NY |
N | 2084N0400X | Neurologist | 247492-1 | NY |
NPI | 1255650842 |
---|---|
Provider Name | Dr. Anne Caroline Banas |
First Address | Cheektowaga, NY 14227-1416 |
Second Address | Cheektowaga, NY 14227-1416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2010 |
Last Update Date | 19/02/2020 |