Individual
MEGAN MARIE MIZERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4321
Mailing address
111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25MA11893000
NJ
Other
Enumeration date
03/29/2017
Last updated
03/31/2024
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