Jade Banham
Jade Banham is a Specialist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
1651 Coney Island AveBrooklyn, NY 11230-5849
Phone: (718) 998-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1563856211 (NY) |
|---|
Record details
| NPI number | 1477294197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 2, 2022 |
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