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Elise Banderob

NPI 1457239816 · on the registry since 2025 · sole proprietor

Practice

Address
1260 Ward Avenue
Bronx, NY 10472
Phone
(214) 215-1037

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-25

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