Individual
ALLAN MIGIROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2179
Mailing address
215 SLATER BLVD, STATEN ISLAND, NY 10305-3239
(718) 869-1007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
338114
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
08/14/2025
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