Individual
DR. MARK ROBERT BANSCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 KATONAH AVE, KATONAH, NY 10536-2138
(914) 232-9000
(914) 232-6984
Mailing address
215 KATONAH AVE, KATONAH, NY 10536-2138
(914) 232-9000
(914) 232-6984
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
032644
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
151865
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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