Individual
MIRELA SUBASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7375 OSWEGO RD, LIVERPOOL, NY 13090-3717
(315) 291-0064
Mailing address
7375 OSWEGO RD, LIVERPOOL, NY 13090-3717
(315) 807-5993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F349648-01
NY
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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