Individual
MIRNA BURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
193 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 656-1042
(201) 656-7656
Mailing address
193 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 656-1042
(201) 656-7656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00088600
NJ
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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