Search › New York › 101YA0400X
Kevin Bantum
NPI 1992342331 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1041 Bergen St
Brooklyn, NY 11216 - Phone
- (718) 771-0760
- Organisation at this address
- Anchor House, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2019-12-04
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