Physician Compare National (NPI:1265632269)

HEALTHCARE PROVIDER: TANSAR N MIR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265632269
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517135718
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110714000300
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIR
	Individual professional last name
Provider First Name	TANSAR
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	139 PLANDOME RD
	Group Practice or individual's line 1 address
City	MANHASSET
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	110302331
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREENWICH HOSPITAL ASSOCIATION -
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y