Provider Demographics
NPI:1972837292
Name:NOOR, ASIF (MD)
Entity Type:Individual
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First Name:ASIF
Middle Name:
Last Name:NOOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:222 STATION PLZ N STE 611
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3893
Mailing Address - Country:US
Mailing Address - Phone:516-663-2532
Mailing Address - Fax:516-663-2233
Practice Address - Street 1:120 MINEOLA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4077
Practice Address - Country:US
Practice Address - Phone:516-663-4600
Practice Address - Fax:516-663-3793
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2021-03-10
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Provider Licenses
StateLicense IDTaxonomies
NY2668402080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBW2881921OtherWINTHROP UNIVERSITY HOSPITAL