DR. Elsa Gisella Esmeralda Mirasol, M.D

NPI #1881631794 in Northport, New York

Provider Information

NPI Number
1881631794
Entity Type
Individual
Name
DR. Elsa Gisella Esmeralda Mirasol, M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychiatry & Neurology - Psychosomatic Medicine
Credential
M.D
Enumeration Date
May 31, 2006
Last Updated
Dec 17, 2010

Practice Location

Address
79 MIDDLEVILLE RD
ZIP Code
11768-2200
Phone
(631) 261-4400

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry
Psychiatry & Neurology - Psychosomatic MedicinePsychosomatic Medicine

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