Anna M Mirski Primary Medical Care Pllc

NPI #1659500387 in Bohemia, New York

Provider Information

NPI Number: 1659500387
Entity Type: Organization
Organization Name: Anna M Mirski Primary Medical Care Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 1, 2009
Last Updated: Jul 1, 2009

Practice Location

Address: 1690 WASHINGTON AVE
Address 2: SUITE C
City: Bohemia
State: New York
ZIP Code: 11716-1425
Phone: (631) 648-9660

Authorized Official

Name: DR. ANNA M MIRSKI, MD
Title: SOLE MEMBER
Phone: (631) 648-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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