Individual
GARY MIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021-5309
(516) 466-5437
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
155187
NY
Other
Enumeration date
03/27/2006
Last updated
11/12/2009
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