Individual
MR. PUSHPA R BHANSALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2428 OCEAN AVENUE, BROOKLYN, NY 11229
(718) 934-7770
(718) 934-8038
Mailing address
2428 OCEAN AVENUE, BROOKLYN, NY 11229
(718) 934-7770
(718) 934-8038
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
157668
NY
207X00000X
Orthopaedic Surgery Physician
Primary
157768-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834744
—
NY
Enumeration date
06/25/2006
Last updated
10/03/2016
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