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Individual
JOAN MIRAVITE
Active
Individual
JOAN MIRAVITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02266806
—
NY
01
—
2 E6521
EMPIRE BCBS
NY
Enumeration date
02/13/2006
Last updated
06/04/2014
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