Most Relevant Information
Provider Data
| NPI Number: | 1003446915 |
| Provider Name: | ABENA BANFUL |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F345344-01 |
Most Important Dates
| Enumeration Date: | 01/20/2020 |
| Last Updated: | 01/20/2020 |
Provider Practice Location
760 BROADWAY
BROOKLYN
NY
112065317
Practice Location Phone/Fax
| Phone: | 7189638000 |
| Fax: |
Provider Mailing Location
662 E 82ND ST
BROOKLYN
NY
112363306
Provider Mailing Phone/Fax
| Phone: | 2122032761 |
| Fax: |