Individual
DR. BHOLA N. BANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PC
Contact information
Practice address
1097 OLD COUNTRY RD, STE 103, PLAINVIEW, NY 11803-6505
(516) 931-3131
(516) 931-3140
Mailing address
1097 OLD COUNTRY RD, STE 103, PLAINVIEW, NY 11803-6505
(516) 931-3131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
119027
NY
207RC0000X
Cardiovascular Disease Physician
119027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00222380
—
NY
Enumeration date
06/22/2005
Last updated
08/26/2022
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