Individual
TAHIR AYUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
286 IRISH SETTLEMENT RD, PLATTSBURGH, NY 12901-5947
(518) 310-3444
(518) 310-3445
Mailing address
286 IRISH SETTLEMENT RD, PLATTSBURGH, NY 12901-5947
(518) 310-3444
(518) 310-3445
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03969500
—
NY
Enumeration date
05/04/2016
Last updated
05/04/2016
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