Individual
MARIA ANGELICA MIEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
351 E 84TH ST, 20C, NEW YORK, NY 10028-4423
(212) 861-7103
(212) 504-3072
Mailing address
351 E 84TH ST, 20C, NEW YORK, NY 10028-4423
(212) 861-7103
(212) 504-3072
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
107306
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00109009
—
NY
Enumeration date
06/26/2013
Last updated
06/26/2013
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