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Selene Bantz, M.D
NPI 1619111366 · on the registry since 2009
Practice
- Address
- 10 Barclay St
Ste 29d
New York, NY 10007 - Phone
- (917) 765-5960
- Clinicians at this address
- 4
Additional practice sites
- 333 Cedar St # S-215, New Haven, CT
- 320 Jackson Rd, Medford, NJ
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Also registered as
- 2080P0201X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-01
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