JACOB MIR

LIVERPOOL, NY
NPI1043054158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
JACOB MIR PA-C
7375 OSWEGO RD
LIVERPOOL, NY 13090-3717
Phone number: 315-291-0064
Mailing Address
JACOB MIR PA-C
2744 HILTONWOOD RD
BALDWINSVILLE, NY 13027-8207
Phone number: 315-391-6094
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