Individual
DR. LAURA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4750 59TH ST, WOODSIDE, NY 11377-5570
(718) 666-0849
Mailing address
4750 59TH ST, WOODSIDE, NY 11377-5570
(718) 666-0849
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME145288
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2014
Last updated
06/11/2020
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