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Individual

TAGIR SABIROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3068
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3068

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290121
NY
2084A2900X
Neurocritical Care Physician
Primary
290121
NY
282N00000X
General Acute Care Hospital

Other

Enumeration date
08/08/2014
Last updated
02/20/2021
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