Organization · Type 2 NPI
Mimi G Bansal, MD
Procedural Dermatology Physician · Lake Success, NY
Practice location
2001 Marcus Ave, Suite N218
Lake Success, NY 11042
Fax (516) 437-6904
Mailing address
2 Polo Dr
Old Westbury, NY 11568-1043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | 2122661 (NY) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
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About NPI 1003978669
Mimi G Bansal, MD's National Provider Identifier is 1003978669, issued on Dec 13, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Lake Success, NY. The record was last updated on Aug 22, 2020.