Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 210313 | NY |
NPI | 1043385735 |
---|---|
Provider Name | Dr. Rashid A Mian |
First Address | Pearl River, NY 10965-1610 |
Second Address | Orangeburg, NY 10962-1157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
210313 | LICENSE (01) | NY |