Individual
KATHRYN MIRRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1554 NORTHERN BLVD FL 3, MANHASSET, NY 11030-3054
(516) 719-3700
Mailing address
1554 NORTHERN BLVD FL 3, MANHASSET, NY 11030-3054
(516) 719-3799
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
020150
NY
Other
Enumeration date
06/20/2011
Last updated
07/27/2023
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