Individual
JACOB MIRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
46 COOK ST, BROOKLYN, NY 11206-4004
(718) 701-7300
Mailing address
46 COOK ST, BROOKLYN, NY 11206-4004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013990
NY
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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