NPI 1003474834

Joseph E Mirro

Practitioner Physician Assistant West Islip, NY

Practice location

Address: 518 Hunter Ave, West Islip, NY 11795-1641
Phone: (631) 278-9888

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 024653 (NY)

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Registry record

NPI: 1003474834
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2019
Record last updated: 10 Dec 2020

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.