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Dr. John David Bannon, MD,FACS
Specialist in Queensbury, New York
NPI 1396718201

John David Bannon is a Specialist based in Queensbury, NY. John David Bannon practices in Queensbury, NY and has the professional credentials of MD,FACS. The NPI Number for John David Bannon is 1396718201 and holds a License No. 136663 (New York).

The current practice location address for John David Bannon is 543 Bay Rd, Queensbury, NY and can be reached out via phone at 518-761-2663 and via fax at 518-761-6831.

Location: 543 Bay Rd, Queensbury, NY, 12804-1441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396718201
Provider Name
John David Bannon
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
543 Bay Rd, Queensbury, NY, 12804-1441
Phone Number
518-761-2663
Fax Number
518-761-6831
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00832751 05 NY
136663 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
543 Bay Rd
City
Queensbury
State
New York
Zip
12804-1441
Phone Number
518-761-2663
Fax Number
518-761-6831
person
Provider Business Mailing Address Details
Address
543 Bay Rd
City
Queensbury
State
New York
Zip
12804-1441
Phone Number
518-761-2663
Fax Number
518-761-6831
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
136663 (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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