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Charlotte Banilivy

NPI 1740960020 · on the registry since 2023 · sole proprietor

Practice

Address
15 Maple Grove St
Great Neck, NY 11023
Phone
(516) 417-1341

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-20

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