Individual
DR. EMMANUEL V BAPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(551) 486-0342
(201) 943-6980
Mailing address
455 CHESTNUT ST, RIDGEFIELD, NJ 07657-2641
(551) 486-0342
(201) 943-6980
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA06289500
NJ
207R00000X
Internal Medicine Physician
Primary
199854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883114
—
NY
05
—
8806403
—
NJ
Enumeration date
06/03/2006
Last updated
08/10/2016
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