Jacob Mir, PA-C

NPI #1043054158 in Liverpool, New York

Provider Information

NPI Number
1043054158
Entity Type
Individual
Name
Jacob Mir, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 24, 2024
Last Updated
Jun 24, 2024

Practice Location

Address
7375 OSWEGO RD
ZIP Code
13090-3717
Phone
(315) 291-0064

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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