Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 279896 | NY |
NPI | 1003152174 |
---|---|
Provider Name | Dr. Neha Bansal |
First Address | Olean, NY 14760-1500 |
Second Address | Olean, NY 14760-1500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2012 |
Last Update Date | 23/02/2021 |