Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 236478 | NY |
NPI | 1003857822 |
---|---|
Provider Name | Dr. Mireya Garcia |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Stony Brook, NY 11794-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02682626 | (05) | NY |
682X81 | EMPIRE BC.BS (01) | NY |
7376705 | AETNA (01) | NY |
I41319 | (02) | NY |