Individual
DR. TABASUM MIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 5TH AVE RM 602, NEW YORK, NY 10017-7831
(212) 219-9090
Mailing address
501 5TH AVE RM 602, NEW YORK, NY 10017-7831
(212) 210-9272
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
BM8695578
NY
208200000X
Plastic Surgery Physician
ME159833
FL
Other
Enumeration date
09/11/2013
Last updated
11/17/2023
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