Individual
AMIT BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3556
(585) 338-2700
Mailing address
601 ELMWOOD AVE BOX 679B, ROCHESTER, NY 14642-0001
(585) 338-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267936
NY
207RC0000X
Cardiovascular Disease Physician
Primary
267936
NY
208M00000X
Hospitalist Physician
267936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131126/RGH
—
NY
05
—
03007063/NWH
—
NY
05
—
03532703
—
NY
Enumeration date
07/12/2010
Last updated
02/09/2024
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