Individual
MAIRA NUSRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-3656
(631) 444-5437
Mailing address
101 NICOLLS RD STE 20, STONY BROOK, NY 11794-0001
(631) 444-5437
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
318415
NY
Other
Enumeration date
07/01/2019
Last updated
08/13/2025
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