Individual
MRS. BITA MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED
Contact information
Practice address
28 MARKWOOD LN, EAST NORTHPORT, NY 11731-4015
(631) 385-3379
Mailing address
28 MARKWOOD LN, EAST NORTHPORT, NY 11731-4015
(631) 385-3379
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
611162051
NY
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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