Individual
DR. JENNY SULENIA MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
297365
NY
208D00000X
General Practice Physician
18,069
PR
Other
Enumeration date
07/02/2009
Last updated
01/29/2020
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