Samantha Mirkin, MSED

NPI #1790156065 in Hewlett, New York

Provider Information

NPI Number: 1790156065
Entity Type: Individual
Name: Samantha Mirkin, MSED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Oct 13, 2015
Last Updated: Oct 13, 2015

Practice Location

Address: 266 ADAMS RD
City: Hewlett
State: New York
ZIP Code: 11557-2765
Phone: (516) 660-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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