Individual
DENNIS S MIURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1521 JARRET PL, BRONX, NY 10461-2606
(718) 518-1276
(718) 518-1281
Mailing address
1521 JARRET PL, BRONX, NY 10461-2606
(718) 518-1276
(718) 518-1281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
141172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00532825
—
NY
Enumeration date
10/11/2005
Last updated
07/08/2007
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