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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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