Individual
MIRZA BEDAR BAKHT BEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 IRVING AVE, CROUSE POB STE 805, SYRACUSE, NY 13210-1603
(315) 464-8444
(315) 464-8445
Mailing address
725 IRVING AVE, CROUSE POB STE 805, SYRACUSE, NY 13210-1603
(315) 464-8444
(315) 464-8445
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
233544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02592890
—
NY
Enumeration date
07/20/2006
Last updated
05/07/2010
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