Organization
SANJIV BANSAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIV BANSAL MD (PRESIDENT)
(718) 515-7800
Entity
Organization
Contact information
Practice address
2705 WILLIAMSBRIDGE RD, BRONX, NY 10469-4109
(718) 515-9800
(718) 231-7942
Mailing address
192 SHEPHERD LN, ROSLYN HEIGHTS, NY 11577-2509
(718) 515-9800
(718) 231-7942
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
191686
NY
Other
Enumeration date
10/17/2005
Last updated
08/22/2020
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