Bansal, Mimi G

Bansal, Mimi G is an individual health care provider with primary practice located at 2001 Marcus Ave Suite N218, New Hyde Park NY 11042-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bansal, Mimi G can be contacted via phone (516) 352-2700.

Contact Information

Primary practice address
2001 Marcus Ave Suite N218 New Hyde Park NY 11042-1011
Phone: (516) 352-2700
Fax: (516) 437-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 212266-1 New York

Profile Details

NPI number 1568563567
LBN Legal business name Bansal, Mimi G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568563567 NPPES
New York Other 3C2836 HEALTHNET
New York Other P1916938 HEALTHNET
New York Other 3K8631 HEALTHNET
New York Other 2529062 HEALTHNET

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