Individual
JULIE MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9825 HORACE HARDING EXPY, CORONA, NY 11368-4627
(718) 271-0888
Mailing address
9825 HORACE HARDING EXPY, CORONA, NY 11368-4627
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
07/09/2015
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