Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael J Banome

Organization Physical Therapist · NPI 1093313504

Michael J Banome is a Physical Therapist in Bayside, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2812 201st St
Bayside, NY 11360-2321
Phone: (347) 804-4956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093313504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Banome — Physical Therapist · (347) 804-4956
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 16, 2020
Certification dateOctober 15, 2020
Mailing address2812 201st St, Bayside, NY 11360-2321

Other providers in Bayside