MIRA TADROS DO

10 E 102ND ST, NEW YORK, NY, 100290307

atlas:atm_npi_1467984864

Block 0001Block Group 0Census Tract 9901Marin County California United States

What is stored

status: A
address: 10 E 102ND ST, NEW YORK, NY, 100290307
npi: 1467984864
license: 322599
taxonomy: Internal Medicine, Sleep Medicine
other names: []
last updated: 2023-06-23
license state: NY
taxonomy code: 207RS0012X
all taxonomies: ["Internal Medicine","Internal Medicine, Sleep Medicine","Internal Medicine, Sleep Medicine"]
sole proprietor: NO
enumeration date: 2017-04-03
enumeration type: NPI-1
practice locations: 3

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{
  "npi": "1467984864",
  "status": "A",
  "address": "10 E 102ND ST, NEW YORK, NY, 100290307",
  "license": "322599",
  "taxonomy": "Internal Medicine, Sleep Medicine",
  "other_names": [],
  "last_updated": "2023-06-23",
  "license_state": "NY",
  "taxonomy_code": "207RS0012X",
  "all_taxonomies": [
    "Internal Medicine",
    "Internal Medicine, Sleep Medicine",
    "Internal Medicine, Sleep Medicine"
  ],
  "sole_proprietor": "NO",
  "enumeration_date": "2017-04-03",
  "enumeration_type": "NPI-1",
  "practice_locations": 3
}