Individual
SEAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 452-2728
Mailing address
102 FULTON AVE, POUGHKEEPSIE, NY 12603-2857
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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