Individual
KANTI LAL BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 1ST AVE, APT 204, NEW YORK, NY 10029-6408
(347) 423-4525
Mailing address
1955 1ST AVE, APT 204, NEW YORK, NY 10029-6408
(347) 423-4525
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1871846
NY
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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