Jesse R. Banham, PA-C
Physician Assistant · Ozone Park, NY
UnclaimedPA-CNPI 1215867619
- Primary taxonomy
- 363A00000X
- Enumerated
- 2026-05-19
- Practice location
- Ozone Park, NY
- Last NPPES update
- 2026-05-19
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.