Individual
MIRA TYCH KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E 38TH ST FL 5, NEW YORK, NY 10016-2772
(646) 501-7077
Mailing address
333 E 38TH ST FL 5, NEW YORK, NY 10016-2772
(646) 501-7077
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
028072
NY
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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