Kelly Marie Banker
Individual provider Active NPI Early Intervention Provider Agency · Mahopac, NY
NPI 1669980801 · NPPES record last updated Jan 22, 2018
Key facts
- NPI
- 1669980801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 120 Vista Terrace S.
Mahopac, NY 10541 - Phone
- (917) 449-0168
- NPI assigned
- Jan 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
120 Vista Terrace S.
Mahopac, NY 10541
Mailing address
120 Vista Terrace S.
Mahopac, NY 10541
Other providers in Mahopac, NY
- Danielle Ashley D'Ambrozio
- At Home Aide, Inc.
- Lisa Ann Baccari
- Jaime Bahr
- Scott Allyn Bailey Sr.
- Scott Bartholdi
- Janet M Barton
- Amanda Jean Basting
- Francesca Bastone
- Kara Beers
All providers in Mahopac, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.