Individual
DR. SUZANNE S. MIRRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BSB4-5, BROOKLYN, NY 11203-2056
(718) 270-2746
(718) 270-4416
Mailing address
111 HICKS ST, APARTMENT 22A, BROOKLYN, NY 11201-1658
(718) 270-2746
(718) 270-4416
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
105788-1
NY
207ZP0101X
Anatomic Pathology Physician
Primary
105788-1
NY
Other
Enumeration date
04/12/2006
Last updated
09/11/2025
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