Individual
MS. MIRIAM GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
19 HENEARLY DR, MILLER PLACE, NY 11764-3307
(631) 331-3656
Mailing address
19 HENEARLY DRIVE, MILLER PLACE, NY 11764
(631) 331-3656
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246462
—
NY
Enumeration date
12/04/2006
Last updated
02/25/2015
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