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Organization

BHOLA N. BANIK, M.D., PC

Active
Other names
Bhola N. Banik, M.D., PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHOLA N. BANIK MD (OWNER)
(516) 931-3131
Entity
Organization

Contact information

Practice address
1097 OLD COUNTRY RD, SUITE 103, PLAINVIEW, NY 11803-6505
(516) 931-3131
(516) 931-3140
Mailing address
1097 OLD COUNTRY RD, SUITE 103, PLAINVIEW, NY 11803-6505
(516) 931-3131
(516) 931-3140

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
119027
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00222380
NY
Enumeration date
05/16/2007
Last updated
01/26/2010
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