Individual
JENNIFER MIERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, HW244, NEW YORK, NY 10016-6402
(212) 263-5667
Mailing address
550 1ST AVE, HW244, NEW YORK, NY 10016-6402
(212) 263-5667
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
189302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01408319
—
NY
Enumeration date
05/18/2006
Last updated
01/04/2010
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