Search › New York › 363L00000X
Marina Mironova, NP
NPI 1881555712 · on the registry since 2025 · sole proprietor
Practice
- Address
- 292 Timber Ridge Dr
Staten Island, NY 10306 - Phone
- (347) 603-5647
- Fax
- (347) 695-1117
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-20
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