Organization
METHODIST OUTRACH LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RABIA MIR MD (DIRECTOR)
(718) 780-3016
Entity
Organization
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3016
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(516) 794-8165
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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