Individual
LESLIE BANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 MITCHELL AVE, BINGHAMTON, NY 13903
(607) 772-0639
Mailing address
40 MITCHELL AVE., BINGHAMTON, NY 13903
(607) 772-0639
(607) 772-0639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
173774
NY
207RG0100X
Gastroenterology Physician
Primary
173774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01108410
—
NY
Enumeration date
11/15/2005
Last updated
07/11/2011
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