Samuel A Banigo in Irvington - Adolescent Medicine

Samuel A Banigo - NPI 1063503555

Samuel A Banigo is a Adolescent Medicine in Irvington, New Jersey. Samuel A Banigo practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Samuel A Banigo is 1063503555. The last update date is 2007-07-08.

Samuel A Banigo's current location address is 40 Union Ave, Irvington, New Jersey. You can contact this provider via phone number 9734166981 and fax number 9733755766. The mailing address for Samuel A Banigo is 40 Union Ave, Irvington, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel A Banigo
Address 40 Union Ave, Irvington, New Jersey
Phone Number 9734166981
Fax Number 9733755766
Sole Proprietor N
Credentials M.D.,

NPI Number Detail

NPI Number 1063503555
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 40 Union Ave
City Irvington
State New Jersey (NJ)
Post Code 71113277
Phone Number 9734166981
Fax Number 9733755766

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Ra0000X
Licence No 25MA07986300
Definition:
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
98256 NJ --

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FAQs about Samuel A Banigo

What is the unique identification code assigned to Samuel A Banigo by the Centers for Medicare & Medicaid Services?

The Samuel A Banigo has been issued the NPI (National Provider Identifier) 1063503555. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Samuel A Banigo is physically located?

The Samuel A Banigo is situated at the following address: 40 Union Ave, Irvington, NJ 71113277.

What is Samuel A Banigo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Samuel A Banigo is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Ra0000X.

When did Samuel A Banigo receive its 1063503555 assignment?

The Samuel A Banigo was assigned its 1063503555 on 2006-09-27, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Samuel A Banigo most recently updated or revised?

The details related to Samuel A Banigo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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