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Matthew Banaszak
Specialist in Garden City, New York
NPI 1306275078

Matthew Banaszak is a Specialist based in Bayport, NY. Matthew Banaszak practices in Garden City, NY. The NPI Number for Matthew Banaszak is 1306275078 and holds a License No. 772087166 (New York).

The current practice location address for Matthew Banaszak is 300 Garden City Plz, Garden City, NY and can be reached out via phone at 516-747-9030. You can also correspond with Matthew Banaszak through the mailing address at 1 FENIMORE RD, BAYPORT, NY - 11705-2115 (mailing address contact number: 631-707-3797).

Location: 300 Garden City Plz, Garden City, NY, 11705-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306275078
Provider Name
Matthew Banaszak
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 Garden City Plz, Garden City, NY, 11705-2115
Phone Number
516-747-9030
Fax Number
Provider Enumeration Date
11/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Garden City Plz
City
Garden City
State
New York
Zip
11530-3302
Phone Number
516-747-9030
Fax Number
person
Provider Business Mailing Address Details
Address
300 Garden City Plz
City
Garden City
State
New York
Zip
11530-3302
Phone Number
516-747-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
772087166 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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