Mimi G Bansal, MD
NPI #1003978669 in Lake Success, New York
Provider Information
- NPI Number
- 1003978669
- Entity Type
- Organization
- Organization Name
- Mimi G Bansal, MD
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2001 MARCUS AVE
- Address 2
- SUITE N218
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042
- Phone
- (516) 352-2700
Authorized Official
- Name
- MIMI G BANSAL, M.D.
- Title
- OWNER
- Phone
- (516) 352-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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