Individual
BISMAH IRFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4256 BRONX BLVD STE 3, BRONX, NY 10466-2672
(718) 690-3666
(855) 816-0750
Mailing address
4256 BRONX BLVD STE 3, BRONX, NY 10466-2672
(718) 690-3666
(855) 816-0750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125062109
IL
207RN0300X
Nephrology Physician
Primary
288212
NY
Other
Enumeration date
10/17/2012
Last updated
01/18/2018
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