Johvani E Bantiles, - Registered Nurse in Watertown, NY

Johvani E Bantiles, is a Registered Nurse - Psychiatric/mental Health, Child & Adolescent based in Watertown, New York. Johvani E Bantiles is licensed to practice in New York (license number 915663) and current practice location is 650 State St, Watertown, New York. can be reached at office (for appointments etc.) via phone at (315) 755-1251.

NPI number for Johvani E Bantiles is 1770332280 and current mailing address is 720 Mill St Apt 1, Watertown, New York. does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1770332280.

Contact Information

Johvani E Bantiles,
650 State St,
Watertown, NY 13601-2839
(315) 755-1251
(315) 291-6601

Map and Direction




Provider's Profile

Full NameJohvani E Bantiles
Gender
SpecialityRegistered Nurse - Psychiatric/mental Health, Child & Adolescent
Location650 State St, Watertown, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770332280
  • Provider Enumeration Date: 05/16/2024
  • Last Update Date: 10/03/2024

Medical Identifiers

Medical identifiers for Johvani E Bantiles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770332280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 915663 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johvani E Bantiles is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johvani E Bantiles,
720 Mill St Apt 1,
Watertown, NY 13601-1566

Ph: (315) 775-7649
Johvani E Bantiles,
650 State St,
Watertown, NY 13601-2839

Ph: (315) 755-1251

Reviews and Comments


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