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Mary Anne Miranda, NP-C
NPI 1942492897 · on the registry since 2007 · sole proprietor
Practice
- Address
- 931 Hallock Ave
Port Jefferson Station, NY 11776 - Phone
- (631) 331-7200
- Organisation at this address
- Tri State Medical Associates Pc
Red Shirt Medical Associates, Pc
Gastroenterology Associates Of Suffolk, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-13
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