Individual
DAREENA D MIRROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 5TH AVE, SUITE 110, TROY, NY 12180-3340
(518) 687-1960
(518) 687-1970
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 591-1121
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003445
NY
Other
Enumeration date
02/25/2008
Last updated
08/24/2016
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