Individual
MIRA TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10 E 102ND ST, NEW YORK, NY 10029-0307
(212) 241-5656
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A16953
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
322599
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A16953
CA
Other
Enumeration date
04/03/2017
Last updated
06/23/2023
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