Individual
DR. DENISE L MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4583 NORTH ST, JAMESVILLE, NY 13078-9461
(315) 469-9120
(315) 469-9124
Mailing address
4583 NORTH ST, JAMESVILLE, NY 13078-9461
(315) 469-9120
(315) 469-9124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010412-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000144576
BCBS
NY
Enumeration date
01/25/2007
Last updated
07/08/2007
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