Individual
ADARA MIFSUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3531 LONG BEACH RD, OCEANSIDE, NY 11572-5700
(212) 385-3700
Mailing address
3531 LONG BEACH RD, OCEANSIDE, NY 11572-5700
(212) 385-3700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
12/13/2024
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