Individual
DR. MIRANDA BOONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 MERRICK AVE, EAST MEADOW, NY 11554-4748
(516) 393-8941
Mailing address
801 MERRICK AVE, EAST MEADOW, NY 11554-4748
(516) 393-8941
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
278947-1
NY
Other
Enumeration date
01/13/2011
Last updated
07/20/2015
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