Individual
ADRIAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
897 BROADWAY, LOWER LEVEL, NEW YORK, NY 10003-1205
(212) 673-7878
(212) 674-7878
Mailing address
219 AUDUBON AVE, APT 4A, NEW YORK, NY 10033-8344
(212) 673-7878
(212) 674-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032963-1
NY
225100000X
Physical Therapist
08308
CT
Other
Enumeration date
04/24/2008
Last updated
09/01/2021
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