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Organization

SANJIV BANSAL MD PC

Active
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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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