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Individual

IRINA MIRONOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(347) 277-3300
Mailing address
6641 BERGEN PL, BROOKLYN, NY 11220-4825
(347) 277-3300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
305753
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2017
Last updated
05/12/2021
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