Individual provider · Type 1 NPI

Regina Ann Mirra

Specialist · Chestnut Ridge, NY

NPI number 1255838876 Active

Practice location

501 Chestnut Ridge Rd Ste 205
Chestnut Ridge, NY 10977-5669

Call (845) 738-4362 Map

Mailing address

74 1st St
Harrison, NY 10528-4428

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X135687861 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255838876

Regina Ann Mirra's National Provider Identifier is 1255838876, issued on Apr 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chestnut Ridge, NY. The record was last updated on Apr 10, 2018.