Individual
HIRA TANVIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
79 SHADY LN, FANWOOD, NJ 07023-1750
(347) 694-0273
Mailing address
79 SHADY LN, FANWOOD, NJ 07023-1750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350629
NY
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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