Individual
MIRIAM MIKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10-42 MITCHEL AVENUE, BINGHAMTON, NY 13903
(607) 762-2458
Mailing address
8 MULBERRY ST, BINGHAMTON, NY 13901-2111
(607) 773-3187
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401873
NY
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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