Jennifer Bannen
Jennifer Bannen is a Specialist in Middle Island, New York. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location PO Box
PO Box 12Middle Island, NY 11953-0012
Phone: (631) 924-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1225916331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 26, 2025 |
| Last updated in NPPES | August 26, 2025 |
| Certification date | August 26, 2025 |
| Mailing address | 138 Adams St E, East Islip, NY 11730-1623 |
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