MARK STEPHEN BANASZAK (NPI# 1417127218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417127218 |
| Entity Type | Individual |
| Full Name | MARK STEPHEN BANASZAK |
| Credential | LMT |
| Practice Address |
6321 Balsam Fir Ct Clarence Center NY 14032-9150 |
| Practice Telephone | 7168649079 |
| Mailing Telephone | 7168649079 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 019871 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6321 BALSAM FIR CT |
| City | CLARENCE CENTER |
| State | NY |
| Zip Code | 14032-9150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750890919 | Lucas John Speak | Nurse Practitioner | 5882 Kilkenny Mnr, Clarence Center, NY 14032 | 2017-09-20 |
| 1407269749 | Pioneer Logistics Inc. | Non-emergency Medical Transport (VAN) | 5585 Marthas Vineyard Road, Clarence Center, NY 14032 | 2014-06-04 |
| 1144473752 | Rebecca M Lafornara | Psychologist | 8999 Shannon Court, Clarence Center, NY 14032 | 2008-10-28 |
| 1679645667 | Robert S Ruehrwein Dds PC | Dentist | 5860 Goodrich Rd, Clarence Center, NY 14032-0356 | 2006-11-14 |
| 1568769826 | Louise Alexander | Licensed Practical Nurse | 5640 Thompson Rd, Clarence Center, NY 14032-7034 | 2011-02-23 |
| 1952426785 | Patrick J Stein | Psychiatry & Neurology | 5627 Marthas Vineyard, Clarence Center, NY 14032-9001 | 2007-03-20 |
| 1154603702 | Amy Schnitzer | Licensed Practical Nurse | 8785 Wolcott Rd, Clarence Center, NY 14032-9122 | 2011-09-09 |
| 1528504362 | Regan Howlett | Registered Nurse | 9000 Wolcott Rd, Clarence Center, NY 14032-9124 | 2017-01-18 |
| 1578720264 | Amy A Memminger | Contractor | 6248 Balsam Fir Ct, Clarence Center, NY 14032-9150 | 2008-05-20 |
| 1437359593 | Robert Joseph Bijak | Podiatrist | 6254 Balsam Fir Ct, Clarence Center, NY 14032-9150 | 2007-07-18 |
| Find all providers in zip 14032 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CLARENCE CENTER |
| Zip Code | 14032 |
Please comment or provide details below to improve the information on MARK STEPHEN BANASZAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.