Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 052042 | NY |
NPI | 1225291305 |
---|---|
Provider Name | Dr. Amar Ramesh Bhandari |
First Address | Vestal, NY 13850 |
Second Address | Vestal, NY 13850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 02/07/2011 |