Individual
DR. IBRAHIM MOHAMMAD MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 BROADWAY RM 1750, NEW YORK, NY 10279-1802
(336) 671-5041
(580) 297-9296
Mailing address
233 BROADWAY RM 1750, NEW YORK, NY 10279-1802
(580) 297-9296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277398
NY
Other
Enumeration date
06/07/2008
Last updated
03/11/2022
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