Individual
DR. BIMAL MASSAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795
(631) 376-4088
(631) 376-3289
Mailing address
3 BOYLE RD, SELDEN, NY 11784
(631) 736-3372
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
187539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01454195
—
NY
Enumeration date
11/30/2005
Last updated
07/08/2007
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