Individual
DR. CAROL MIROCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CHESTNUT ST, GREENVALE, NY 11548-1104
(516) 626-6710
(516) 626-3826
Mailing address
21 CHESTNUT ST, GREENVALE, NY 11548-1104
(516) 626-6710
(516) 626-3826
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
68012921
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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