Individual
AMIR MIODOVNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 E 13TH ST, 3F, NEW YORK, NY 10003-4471
(212) 241-5756
Mailing address
20 E 13TH ST, 3F, NEW YORK, NY 10003-4471
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-109714
IL
208000000X
Pediatrics Physician
Primary
249904
NY
Other
Enumeration date
01/18/2006
Last updated
10/14/2008
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