Individual
VIJAY BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 368-3050
(585) 368-3058
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 368-3050
(585) 368-3058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
248944
NY
Other
Enumeration date
08/24/2006
Last updated
05/25/2022
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