Organization
BAL M NEMANI M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAL M NEMANI M.D. (OWNER)
(607) 722-6633
Entity
Organization
Contact information
Practice address
80 OAK ST, BINGHAMTON, NY 13905-4625
(607) 722-6633
(607) 722-4629
Mailing address
80 OAK ST, BINGHAMTON, NY 13905-4625
(607) 722-6633
(607) 722-4629
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
115779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00533500
—
NY
Enumeration date
06/26/2006
Last updated
08/22/2020
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