Individual
MS. ATSUMI MIYATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2037 UTICA AVE, BROOKLYN, NY 11234-3234
(718) 253-1366
Mailing address
191 JORALEMON ST, BROOKLYN, NY 11201-4353
(718) 722-6203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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