Individual
MRS. BEVERLY MIEROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATOR
Contact information
Practice address
7563 113TH ST, FOREST HILLS, NY 11375-5551
(646) 400-3111
Mailing address
7563 113TH ST, FOREST HILLS, NY 11375-5551
(646) 400-3111
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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