Dr. Grace Lee Banik
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
3401 Civic Center Blvd 1 Wood Center
Philadelphia
, Pennsylvania 19104
Dr. Grace Lee Banik
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
3401 Civic Center Blvd 1 Wood Center
Philadelphia
, Pennsylvania 19104
(215) 590-1582
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Grace Lee Banik
- 3401 Civic Center Blvd Division Of Otolaryngology
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 590-1582
Second Address
- Dr. Grace Lee Banik
- 3401 Civic Center Blvd 1 Wood Center
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 590-3440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD473043 | PA |
| N | 207YP0228X | Pediatric Otolaryngology | MT220064 | PA |
National Provider Identifier
| NPI | 1699152454 |
|---|---|
| Provider Name | Dr. Grace Lee Banik |
| First Address | Philadelphia, PA 19104 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2015 |
| Last Update Date | 19/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.