Organization
LOCKPORT MEDISPA & SKINCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KULWANT SINGH BHANGOO M.D. (MEDICAL DIRECTOR)
(716) 434-4100
Entity
Organization
Contact information
Practice address
5862 S TRANSIT RD, LOCKPORT, NY 14094-6320
(716) 434-4100
(716) 434-5100
Mailing address
5862 S TRANSIT RD, LOCKPORT, NY 14094-6320
(716) 434-4100
(716) 434-5100
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
120905
NY
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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