Individual
MR. LOWELL S MIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGIST
Contact information
Practice address
2329 E 22ND ST, BROOKLYN, NY 11229-4831
(718) 769-4901
Mailing address
2329 E 22ND ST, BROOKLYN, NY 11229-4831
(718) 769-4901
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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