Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACLYN ELENA BANNISTER, M.S. SP ED
Active Sole ProprietorMRS. JACLYN ELENA BANNISTER, M.S. SP ED is a Contractor healthcare provider located in EAST ELMHURST, New York. NPI 1841619913 is currently active in the NPPES registry. Verify at CMS.
Contractor · EAST ELMHURST, NY
Registration Details
- NPI Number
- 1841619913
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2014 (12.341296738913 yrs)
- Last Updated
- Apr 15, 2014
- License
-
445735 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3055 71ST ST#1EAST ELMHURST, NY, 113701412Browse NY providers · Browse ZIP 11370
- Phone
- 3475564013
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.