Bansal, Nisha

Bansal, Nisha is an individual health care provider with primary practice located at 256 Mason Ave , Staten Island NY 10305-3408. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Bansal, Nisha can be contacted via phone (718) 226-6400.

Contact Information

Primary practice address
256 Mason Ave Staten Island NY 10305-3408
Phone: (718) 226-6400
Fax: (718) 226-6404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 238888 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 238888 New York

Profile Details

NPI number 1174707608
LBN Legal business name Bansal, Nisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Feb 8th, 2013 - about 11 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 1174707608 NPPES
New York MEDICAID 02938310

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