Organization
ANNA M MIRSKI PRIMARY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA M MIRSKI MD (SOLE MEMBER)
(631) 648-9660
Entity
Organization
Contact information
Practice address
1690 WASHINGTON AVE, SUITE C, BOHEMIA, NY 11716-1425
(631) 648-9660
(631) 648-9661
Mailing address
1690 WASHINGTON AVE, SUITE C, BOHEMIA, NY 11716-1425
(631) 648-9660
(631) 648-9661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155157
NY
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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