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Contact Information

MANSOOR M NASIM, MD, PHD
270-05 76TH AVE, B68
NEW HYDE PARK, NY11040-1402
 Phone: 718-470-7490
 Fax: 718-347-9171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MANSOOR M NASIM · (Male)

NPI # 1073629424
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 08/21/2006
Last updated 12/10/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD035352
  • NY License # 236585
  • DC Medicaid 037027800
  • MD Medicaid 408656200
  • VA Medicaid 010197171
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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