Nasim, Mansoor M

Nasim, Mansoor M is an individual health care provider with primary practice located at 270-05 76Th Ave, B68 , New Hyde Park NY 11040-1402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Nasim, Mansoor M can be contacted via phone (718) 470-7490.

Contact Information

Primary practice address
270-05 76Th Ave, B68 New Hyde Park NY 11040-1402
Phone: (718) 470-7490
Fax: (718) 347-9171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 236585 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD035352 District of Columbia

Profile Details

NPI number 1073629424
LBN Legal business name Nasim, Mansoor M
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073629424 NPPES
Maryland MEDICAID 408656200
Maryland MEDICAID 010197171
Maryland MEDICAID 037027800

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