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Organization

MIROMEDICAL P.C.

Active
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Organization

MIROMEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALIA DOCHIM (MANAGER)
(212) 666-3533
Entity
Organization

Contact information

Practice address
2364 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-3640
(212) 666-3533
(212) 666-3535
Mailing address
2364 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027
(212) 666-3533
(212) 666-3535

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
093763
NY
207Q00000X
Family Medicine Physician
Primary
093763
NY

Other

Enumeration date
08/06/2010
Last updated
08/06/2010
About Stedi
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