Individual
CHRISTINA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-0532
Mailing address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 472-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F348283-01
NY
Other
Enumeration date
09/07/2021
Last updated
07/08/2022
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