Individual
DR. AMANDEEP PAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6334 ROBINSON RD, LOCKPORT, NY 14094
(716) 795-0077
(716) 795-0088
Mailing address
6334 ROBINSON RD, LOCKPORT, NY 14094
(716) 795-0077
(716) 795-0088
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
253554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000532372001
BLUE CROSS AND BLUE SHIELD
—
05
—
03229614
—
NY
Enumeration date
04/01/2009
Last updated
06/29/2020
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