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Mark Banchik, M.D.

Anesthesiology in Elmhurst, NY. Individual provider (NPI-1).

NPI number1023045994
StatusActive
Last updated in NPPESDec 5, 2013

Details

NPI
1023045994
Entity type
Individual (NPI-1)
Name
Mark Banchik
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2006
Last updated
Dec 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology151864NYYes

Practice location

90-02 Queens Blvd
Elmhurst, NY 11373-4941

Phone 718-558-1870

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909

Phone 517-787-6440 · Fax 517-787-4146

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