Individual
LEONIDAS MIRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 RESEARCH WAY STE 108, EAST SETAUKET, NY 11733-6401
(631) 941-2000
(631) 941-2010
Mailing address
45 RESEARCH WAY STE 108, EAST SETAUKET, NY 11733-6401
(631) 941-2000
(631) 941-2010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63542
CT
207RC0000X
Cardiovascular Disease Physician
Primary
323121-01
NY
208M00000X
Hospitalist Physician
63542
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2016
Last updated
02/22/2024
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