Individual
CIRAH MIRA FALKENSTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032
(646) 317-6041
(212) 305-6891
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(646) 317-6041
(212) 305-6891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NR13206200
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
609221-1
NY
Other
Enumeration date
06/27/2017
Last updated
10/22/2018
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