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Contact Information

ALFRED C BANNERMAN, MD
8900 VAN WYCK EXPRESSWAY
JAMAICA, NY11418-2832
 Phone: 718-206-7089
 Fax: 718-206-7055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ALFRED C BANNERMAN · (Male)

NPI # 1649231366
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2006
Last updated 11/25/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 111142
  • AZ Medicaid 084255
  • CO Medicaid 14071762
  • NM Medicaid 42551056
Hospital affiliation(s) Not Available
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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