| Anna M Mirski Primary Medical Care Pllc | |
|
1690 Washington Ave Suite C Bohemia NY 11716-1425 | |
| (631) 648-9660 | |
| (631) 648-9661 |
| Full Name | Anna M Mirski Primary Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1690 Washington Ave, Bohemia, New York |
| Authorized Official Name and Position | Anna M Mirski (SOLE MEMBER) |
| Authorized Official Contact | 6316489660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna M Mirski Primary Medical Care Pllc 1690 Washington Ave Suite C Bohemia NY 11716-1425 Ph: (631) 648-9660 | Anna M Mirski Primary Medical Care Pllc 1690 Washington Ave Suite C Bohemia NY 11716-1425 Ph: (631) 648-9660 |
| NPI Number | 1659500387 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659500387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 155157 (New York) | Primary |
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