Individual
ANA A REYNOSO- MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W 35TH ST, NEW YORK, NY 10001-2507
(646) 221-1659
Mailing address
30 OAKWOOD AVE, BOGOTA, NJ 07603-1718
(646) 221-1659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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