Individual
RAJIV BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MARCUS AVE E130, NEW HYDE PARK, NY 11042-1051
(516) 437-6900
(516) 437-6904
Mailing address
2001 MARCUS AVE E130, NEW HYDE PARK, NY 11042-1051
(516) 437-6900
(516) 437-6904
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2036551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2036551
HIP
NY
01
—
3C8523
HEALTHNET
NY
Enumeration date
10/17/2006
Last updated
09/21/2015
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