Organization
ATLANTIC SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUSHP BHANSALI MD (PRESIDENT)
(718) 934-7770
Entity
Organization
Contact information
Practice address
2428 OCEAN AVE, BROOKLYN, NY 11229-3509
(718) 934-7770
(718) 934-8038
Mailing address
2428 OCEAN AVE, BROOKLYN, NY 11229-3509
(718) 934-7770
(718) 934-8038
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0190041
NY
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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