Organization
PRATIBHA BANSAL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM A SHAPIRO (PRACTICE ADMINISTRATOR)
(716) 446-5930
Entity
Organization
Contact information
Practice address
1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
(716) 446-5930
Mailing address
1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
(716) 446-5930
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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