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Contact Information

THEODORE BANIA, MD
1000 10TH AVE
NEW YORK, NY10019-1147
 Phone: 212-523-6745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for THEODORE BANIA · (Male)

NPI # 1669546297
Status Active
Credentials MD
Entity Individual
Enumeration date 11/17/2006
Last updated 03/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 181163
  • NY Medicaid 01621310
Hospital affiliation(s)
  • ST LUKE'S ROOSEVELT HOSPITAL - (Acute Care)
    1111 AMSTERDAM AVENUE
    NEW YORK, NY 10025
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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