Individual
JEIRYM MIRANDA-TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-4100
Mailing address
205 E 95TH ST APT 11F, NEW YORK, NY 10128-4067
(646) 881-6576
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
323470
NY
Other
Enumeration date
05/03/2017
Last updated
01/29/2025
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