Regina Ann Mirra
NPI #1255838876 in Chestnut Ridge, New York
Provider Information
- NPI Number
- 1255838876
- Entity Type
- Individual
- Name
- Regina Ann Mirra
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 10, 2018
- Last Updated
- Apr 10, 2018
Practice Location
- Address
- 501 CHESTNUT RIDGE RD STE 205
- City
- Chestnut Ridge
- State
- New York
- ZIP Code
- 10977-5669
- Phone
- (845) 738-4362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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