# ANNA M MIRSKI PRIMARY MEDICAL CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659500387
- **Authorized official:** DR. ANNA M MIRSKI MD (SOLE MEMBER)
- **Authorized official phone:** (631) 648-9660

## Contact information

- **Practice address:** 1690 WASHINGTON AVE, SUITE C, BOHEMIA, NY 11716-1425
- **Practice address phone:** (631) 648-9660
- **Practice address fax:** (631) 648-9661
- **Mailing address:** 1690 WASHINGTON AVE, SUITE C, BOHEMIA, NY 11716-1425
- **Mailing address phone:** (631) 648-9660
- **Mailing address fax:** (631) 648-9661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 155157 | NY | Yes |

## Other

- **Enumeration date:** 07/01/2009
- **Last updated:** 07/01/2009