MIMI G BANSAL, MD
Osteopathic Medicine at Marcus Ave, New Hyde Park, NY

License number
New York 2122661
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: MIMI G BANSAL M.D.
Title: OWNER
Phone: (516) 352-2700
Address
Address 2
2001 Marcus Ave SUITE N218, New Hyde Park, NY 11042
2 Polo Dr, Westbury, NY 11568
National Provider ID: 1003978669
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mimi G Bansal MD

2001 Marcus Ave, New Hyde Park, NY 11042

Categories:
Physicians & Surgeons
Phone:
(516) 216-1268 (Phone)

MIMI G. BANSAL M.D., PC

Westbury, NY  -  New Hyde Park, NY

Registration:
Jul 21, 2005
Addresses:
2 Polo Dr, Old Westbury, NY 11568 (Physical)
2001 Marcus Ave N218, New Hyde Park, NY 11042 (Physical)
State ID:
3233421
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Mimi Bansal, 2001 Marcus Ave N218, New Hyde Park, NY 11042 (Physical)

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