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Individual
DR. SUSAN E MIRKINSON
Active
Individual
DR. SUSAN E MIRKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
181084-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170157
GHI
—
01
—
0599536
CIGNA
—
01
—
11820P
HIP
NY
01
—
1623355
AETNA
—
01
—
181084
HIP
—
01
—
25992
AETNA USHC
NY
01
—
30703
VYTRA
NY
01
—
389551
VYTRA
—
01
—
6C1347
HEALTHNET
—
01
—
78F701
BCBS
NY
01
—
AP433
OXFORD
NY
01
—
SM0678AK10
BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
05/03/2011
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