Individual
DR. ANNIE L MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1989 ROUTE 52, SUITE 3, HOPEWELL JUNCTION, NY 12533-3533
(845) 897-4500
(845) 897-4550
Mailing address
1989 ROUTE 52, SUITE 3, HOPEWELL JUNCTION, NY 12533-3533
(845) 897-4500
(845) 897-4550
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
210185
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01990692
—
NY
Enumeration date
05/20/2006
Last updated
06/11/2012
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