Bolaji Bankole, MD | |
355 Bard Ave, Staten Island, NY 10310-1664 | |
(718) 818-1234 | |
Not Available |
Full Name | Bolaji Bankole |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 13 Years |
Location | 355 Bard Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801133269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA09771800 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lancaster General Hospital | Lancaster, PA | Hospital |
Chester County Hospital | West chester, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Human Services Inc | 2062495476 | 4 |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Human Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245403237 PECOS PAC ID: 2062495476 Enrollment ID: O20040608000771 |
Mailing Address | Practice Location Address |
---|---|
Bolaji Bankole, MD 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-1234 | Bolaji Bankole, MD 355 Bard Ave, Staten Island, NY 10310-1664 Ph: (718) 818-1234 |
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