Individual provider · Type 1 NPI

Charlotte Banilivy

Specialist · Great Neck, NY

NPI number 1740960020 Active

Practice location

15 Maple Grove St
Great Neck, NY 11023-1214

Call (516) 417-1341 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1721264231 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740960020

Charlotte Banilivy's National Provider Identifier is 1740960020, issued on Jul 20, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Great Neck, NY. The record was last updated on Jul 20, 2023.