Individual
MR. MARC MIRESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1460 BROADWAY, NEW YORK, NY 10036-7329
(866) 256-2134
Mailing address
1460 BROADWAY, NEW YORK, NY 10036-7329
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
317615
NY
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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