Provider Demographics
NPI:1649479239
Name:ASAR, MARIAM HASANALI (MD)
Entity type:Individual
Prefix:DR
First Name:MARIAM
Middle Name:HASANALI
Last Name:ASAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:50 LEROY ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1786
Mailing Address - Country:US
Mailing Address - Phone:315-261-5405
Mailing Address - Fax:315-261-5422
Practice Address - Street 1:50 LEROY ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1786
Practice Address - Country:US
Practice Address - Phone:315-261-5405
Practice Address - Fax:315-261-5422
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD052542L2084P0804X
PAMA052542L2084P0804X
NY2619542084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry