Individual
LATA D BHANSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
176 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-6080
(914) 328-6081
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
140301
NY
Other
Enumeration date
07/14/2006
Last updated
09/26/2012
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