Pamela Banks
Adolescent Medicine
150 Hewlett Ave
Merrick
, New York 11566-3932
Pamela Banks
Adolescent Medicine
150 Hewlett Ave
Merrick
, New York 11566-3932
(516) 379-4276
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Pamela Banks
- 150 Hewlett Ave
- Merrick, NY
- Zip : 11566-3932
- Fax : (516) 379-4276
- Phone : (516) 379-4900
Second Address
- Pamela Banks
- 150 Hewlett Ave
- Merrick, NY
- Zip : 11566-3932
- Fax : (516) 379-4276
- Phone : (516) 379-4900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 186987 | NY |
National Provider Identifier
| NPI | 1083790828 |
|---|---|
| Provider Name | Pamela Banks |
| First Address | Merrick, NY 11566-3932 |
| Second Address | Merrick, NY 11566-3932 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 186987 | NYS LICENSE (01) | NY |
| BB2935851 | DEA (01) | NY |
| F53612 | (02) | NY |
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.