| Dr Selene Bantz, MD | |
|
10 Barclay St, Ste 29d, New York, NY 10007-2714 | |
| (917) 765-5960 | |
| Not Available |
| Full Name | Dr Selene Bantz |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology |
| Location | 10 Barclay St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619111366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 1619111366 (Connecticut) | Primary |
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 1619111366 (Connecticut) | Secondary |
| Entity Name | Century Medical & Dental Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144399098 PECOS PAC ID: 8729070669 Enrollment ID: O20040331001710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Selene Bantz, MD 10 Barclay St, Suite 29d, New York, NY 10007-2714 Ph: (609) 682-0218 | Dr Selene Bantz, MD 10 Barclay St, Ste 29d, New York, NY 10007-2714 Ph: (917) 765-5960 |
Dr. Monica Gupta, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 550 1st Ave, Nbv 16n30, Internal Medicine Residency Program, New York, NY 10016 Phone: 212-263-6397 |
Supinda Bunyavanich, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 5 E 98th St, New York, NY 10029 Phone: 212-241-5548 |
Mary S. Bayno, D.O. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 119 West 57th Street, Suite 1520, New York, NY 10019 Phone: 212-765-6474 Fax: 212-245-3536 |
Dr. Jennifer Toh, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 620 Columbus Ave Ste 2, New York, NY 10024 Phone: 212-600-9411 Fax: 917-441-6829 |
Deborah Weichenberg, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2121 Broadway, Ste 401a, New York, NY 10023 Phone: 212-769-3535 Fax: 212-496-1665 |
Dr. Julie Susan Kuriakose, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 49 Murray St, New York, NY 10007 Phone: 212-729-1283 |
Dr. David John Davis Ii, D.O. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 255 E Houston St, New York, NY 10002 Phone: 212-477-1120 Fax: 212-477-8957 |