Individual
DR. BRANDON D. MIROCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, DEPARTMENT OF RADIOLOGY, EAST MEADOW, NY 11554-1859
(917) 658-9021
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(917) 658-9021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
258863
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2009
Last updated
10/13/2017
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