NPI 1003120619

Miromedical P.C.

Organisation Family Medicine Physician New York, NY

Practice location

Address: 2364 Frederick Douglass Blvd, New York, NY 10027-3640
Phone: (212) 666-3533
Fax: (212) 666-3535
Mailing address: 2364 Frederick Douglass Blvd, New York, NY 10027

Authorised official

Name: Natalia Dochim
Title: Manager
Phone: (212) 666-3533

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 093763 (NY)

Other Family Medicine providers in New York →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 093763 (NY)

Other Allergy & Immunology providers in New York →

Registry record

NPI: 1003120619
Entity type: Organization
NPI issued: 6 Aug 2010
Record last updated: 6 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.