Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | Q3555 | TX |
Y | 207ND0900X | Dermatopathologist | 263239 | NY |
N | 207NP0225X | Pediatric Dermatologist | Q3555 | TX |
NPI | 1003040403 |
---|---|
Provider Name | Dr. Adnan Mir |
First Address | White Plains, NY 10604-3516 |
Second Address | White Plains, NY 10604-3516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2009 |
Last Update Date | 11/01/2021 |