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1003474834
JOSEPH E MIRRO
WEST ISLIP, NY
NPI
1003474834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024653)
Enumeration Date
2019-06-05
Last Update Date
2020-12-10
Business Address
JOSEPH E MIRRO
518 HUNTER AVE
WEST ISLIP, NY 11795-1641
Phone number: 631-278-9888
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Mailing Address
JOSEPH E MIRRO
518 HUNTER AVE
WEST ISLIP, NY 11795-1641
Phone number: 631-278-9888
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