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J. David Bannon Md Pc
Specialist in Queensbury, New York
NPI 1780618983

J. David Bannon Md Pc is a Specialist based in Queensbury, NY. J. David Bannon Md Pc practices in Queensbury, NY. The NPI Number for J. David Bannon Md Pc is 1780618983 and holds a License No. 136663 (New York).

The current practice location address for J. David Bannon Md Pc 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
institution
Provider Profile Details
NPI Number
1780618983
Provider Name
J. David Bannon Md Pc
Credential
Provider Entity Type
Organization
Address
543 Bay Rd, Queensbury, NY, 12804-1441
Phone Number
518-761-2663
Fax Number
518-761-6831
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00832751 05 NY
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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