Individual
AMANDA VICTORIA MIRELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3249 KINGSBRIDGE AVE, BRONX, NY 10463-5514
(646) 655-8730
Mailing address
1 SICKLES ST APT A9, NEW YORK, NY 10040-1907
(917) 361-0727
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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