Methodist Outrach Lab

NPI #1205912813 in Brooklyn, New York

Provider Information

NPI Number: 1205912813
Entity Type: Organization
Organization Name: Methodist Outrach Lab
Primary Specialty: Dermatology - Clinical & Laboratory Dermatological Immunology
Enumeration Date: Oct 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 506 6TH ST
City: Brooklyn
State: New York
ZIP Code: 11215-3609
Phone: (718) 780-3016

Authorized Official

Name: RABIA MIR, MD
Title: DIRECTOR
Phone: (718) 780-3016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Clinical & Laboratory Dermatological Immunology — Clinical & Laboratory Dermatological Immunology	207NI0002X	Primary

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