Mimi G Bansal, Md
Specialty details in registry · Lake Success, NY
At a glance
2001 Marcus Ave, Lake Success, NY 11042
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2001 Marcus Ave Suite N218Lake Success, NY 11042
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207NS0135X
- Enumeration date
- Dec 13, 2006
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
207NS0135X · Primary
License reported: 2122661 NY
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2001 Marcus AveSuite N218
Lake Success, NY 11042
- Phone
- (516) 352-2700
- Fax
- (516) 437-6904
Mailing address
2 POLO DROLD WESTBURY, NY 115681043
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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