# PRATIBHA BANSAL, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659531093
- **Authorized official:** MRS. MIRIAM A SHAPIRO (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (716) 446-5930

## Contact information

- **Practice address:** 1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
- **Practice address phone:** (716) 446-5930
- **Mailing address:** 1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
- **Mailing address phone:** (716) 446-5930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008