Individual
LEILI MIRSADRAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065
(212) 639-2410
Mailing address
222 STATION PLZ N STE 606, MINEOLA, NY 11501-3893
(516) 663-2450
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
295685
NY
Other
Enumeration date
02/23/2015
Last updated
07/21/2022
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