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General NPI Number Information
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NPI Number | 1528261351
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Entity Type | Individual
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Provider Name | TAYYABA RIAZ BASHIR M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 325 W 15TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-5903
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Country | US
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Telephone | 212-604-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 7310 178TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1626
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Country | US
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Telephone | 917-656-5167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 232194
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License Number State | NY
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