Individual
DR. RAJENDRA K. BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 W 165TH ST, SUITE 104, NEW YORK, NY 10032-3724
(212) 350-2241
(212) 305-3276
Mailing address
635 W 165TH ST, SUITE 104, NEW YORK, NY 10032-3724
(212) 305-2241
(212) 305-3276
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
133378-1
NY
Other
Enumeration date
04/08/2006
Last updated
05/12/2011
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