Individual
DR. MWAFFAK BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WATERSIDE PROFESSIONAL PARK, PUTNAM VALLEY, NY 10579-3502
(914) 528-7337
Mailing address
101 WATERSIDE PROFESSIONAL PARK, PUTNAM VALLEY, NY 10579-3502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
282308
NY
208000000X
Pediatrics Physician
MD61266703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224526
—
WA
Enumeration date
10/29/2019
Last updated
03/06/2023
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