Individual provider · Type 1 NPI
Jesse Ryan Banham, PA-C
Physician Assistant · Ozone Park, NY
Practice location
8304A 101st Ave
Ozone Park, NY 11416-2059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1215867619
Jesse Ryan Banham, PA-C's National Provider Identifier is 1215867619, issued on May 19, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ozone Park, NY. The record was last updated on May 19, 2026.