NPI 1992031124 · live from the CMS NPI Registry
Dimitrina Banu, RPA-C
Physician Assistant in Brooklyn, NY. National Provider Identifier 1992031124, active.
NPI record
| NPI | 1992031124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 374 Stockholm St, C/O Faculty Practice Management- Suite 1-37 North, Brooklyn, NY 11237 |
| Practice phone | 718-963-6551 |
| Mailing address | 1800 Orleans St, Sheikh Zayed Tower Room 6118, Baltimore, MD 21287 |
| Enumerated | October 22, 2009 |
| Last updated | November 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 055-0031522 (VT) |
| Physician Assistant, Surgical | 363AS0400X | C0004445 (MD) |
| Physician Assistant primary | 363A00000X | 013532 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.