Individual
JOSEVITO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
53 GLEN KEITH RD APT U, GLEN COVE, NY 11542-3588
(631) 664-7700
Mailing address
53 GLEN KEITH RD APT U, GLEN COVE, NY 11542-3588
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
978973
NY
163WG0000X
General Practice Registered Nurse
RN2265566
MA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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