Individual
COURTNEY E MIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 HIGH OAK CT, HUNTINGTON, NY 11743-4259
(516) 921-5292
Mailing address
440 15TH ST, WEST BABYLON, NY 11704-2617
(631) 445-0602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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