Organization
SILK SKIN INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KULWANT BHANGOO MD (PHYSICIAN)
(716) 826-4800
Entity
Organization
Contact information
Practice address
4 CAZENOVIA ST, BUFFALO, NY 14220-1706
(716) 826-4800
Mailing address
4 CAZENOVIA ST, BUFFALO, NY 14220-1706
(716) 826-4800
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
120905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000506570005
BLUE CROSS
NY
01
—
1301314
INDEPENDENT HEALTH
NY
Enumeration date
07/02/2007
Last updated
03/12/2009
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