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Jesse Banham, PA-C
NPI 1215867619 · on the registry since 2026
Practice
- Address
- 8304a 101st Ave
Ozone Park, NY 11416 - Phone
- (718) 772-6012
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Sex
- Male
- Record last updated
- 2026-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York