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Individual

DR. ELIZABETH MIRABELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
590 W END AVE, SUITE 1D, NEW YORK, NY 10024-1722
(212) 501-0531
Mailing address
590 W END AVE, SUITE 1D, NEW YORK, NY 10024-1722
(212) 501-0531

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
197085
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01566430
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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