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

Mr. Marvin Christopher Banzon

Individual provider Licensed Practical Nurse · NPI 1073082699

Mr. Marvin Christopher Banzon is a Licensed Practical Nurse in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

22215 Northern Blvd
Bayside, NY 11361-3678
Phone: (718) 225-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 333430-1 (NY)

Record details

NPI number1073082699
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018

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