SearchNew York164W00000X

Chastity Miranda

NPI 1477903755 · on the registry since 2016 · sole proprietor

Practice

Address
1812 Carleton Ave
Bay Shore, NY 11706
Phone
(631) 275-5678

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York