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Individual

IREM NASIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246305
NY
208M00000X
Hospitalist Physician
Primary
246305
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02936827
NY
Enumeration date
12/03/2007
Last updated
12/08/2009
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