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Jack Bansbach

NPI 1952002412 · on the registry since 2023

Practice

Address
625 Elmwood Ave
Rochester, NY 14620
Phone
(585) 353-9655
Organisation at this address
University Of Rochester
University Of Rochester
Inferred from a shared address, not stated in the registry.
Clinicians at this address
220

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York