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General NPI Number Information
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NPI Number | 1619823754
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Entity Type | Organization
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Legal Business Name | PUSHPA R. BHANSALI, PHYSICIAN, P.C.
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 2428 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-3509
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Country | US
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Telephone | 718-934-7770
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Fax | 718-934-8038
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Provider Business Mailing Address
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Address Line | 2428 OCEAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-3509
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Country | US
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Telephone | 718-934-7770
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Fax | 718-934-8038
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PUSHPA BHANSALI
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Credential | MD
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Telephone | 718-934-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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