Individual
MARIAM BASIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
320 E 94TH ST, SECOND FLOOR, NEW YORK, NY 10128-5604
(262) 424-4056
Mailing address
18875 BROOKRIDGE DR, BROOKFIELD, WI 53045-8150
(262) 424-4056
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
281246
NY
Other
Enumeration date
08/03/2015
Last updated
09/26/2023
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