Individual provider · Type 1 NPI

Thomas Banks, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Stony Brook, NY

NPI number 1609412741 Active

Practice location

100 Nicolls Rd
Stony Brook, NY 11790-3407

Call (631) 444-3704 Map

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002864-01 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1609412741

Thomas Banks, PHYSICIAN ASSISTANT's National Provider Identifier is 1609412741, issued on Nov 25, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stony Brook, NY. The record was last updated on Nov 25, 2019.