Individual
NITIN BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
(716) 446-5900
Mailing address
1515 KENSINGTON AVE, BUFFALO, NY 14215-1436
(716) 446-5900
(716) 242-0225
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
302887
NY
Other
Enumeration date
01/15/2015
Last updated
10/05/2021
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