SANTA ANN MARIE MIRABELLA

STATEN ISLAND, NY
NPI1821237611
Other NameANN MARIE MIRABELLA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  005789-1)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NJ  25mp00063600)
Enumeration Date2009-02-18
Last Update Date2010-05-24
Business Address
Ms. SANTA ANN MARIE MIRABELLA RPA-C
1504 RICHMOND ROAD
STATEN ISLAND, NY 10304
Phone number: 718-667-0890
Mailing Address
Ms. SANTA ANN MARIE MIRABELLA RPA-C
23 WOOTTON ROAD
ESSEX FELLS, NJ 07021
Phone number: 917-734-3092