Most Relevant Information
Provider Data
| NPI Number: | 1003262213 |
| Provider Name: | JAMES BANTEL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 019631 |
Most Important Dates
| Enumeration Date: | 05/05/2016 |
| Last Updated: | 04/05/2018 |
Provider Practice Location
4295 HEMPSTEAD TPKE
BETHPAGE
NY
117145713
Practice Location Phone/Fax
| Phone: | 5165796000 |
| Fax: |
Provider Mailing Location
4295 HEMPSTEAD TPKE
BETHPAGE
NY
117145713
Provider Mailing Phone/Fax
| Phone: | 5165796000 |
| Fax: |