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LOUELLA M MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
88-31 55TH AVENUE, SUITE 201, ELMHURST, NY 11373-4686
(718) 899-6600
(718) 606-3881
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
193873
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01723642
NY
Enumeration date
06/06/2006
Last updated
10/10/2025
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