Organization
MIRANDA MOHABIR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRANDA MOHABIR MD (PRESIDENT)
(315) 682-0213
Entity
Organization
Contact information
Practice address
8195 CAZENOVIA RD, MANLIUS, NY 13104-9631
(315) 682-0213
Mailing address
10 HENRY ST, NORWICH, NY 13815-1302
(315) 682-0213
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
230129
NY
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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