Organization
TANSAR MIR M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANSAR MIR M.D. (PHYSICIAN)
(516) 354-1330
Entity
Organization
Contact information
Practice address
444 LAKEVILLE RD, SUITE 303, NEW HYDE PARK, NY 11042-1165
(516) 354-1330
(516) 775-5953
Mailing address
444 LAKEVILLE RD, SUITE 303, NEW HYDE PARK, NY 11042-1165
(516) 354-1330
(516) 775-5953
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
60238911
NY
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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