Active NPIIndividual provider

Dr. Jenny S Mirabal, MD

Psychiatry & Neurology, Psychiatry in Elmhurst, New York

NPI Number1184853897
Practice location
7901 Broadway, Elmhurst, NY 11373-1329
Fax
718-334-5006
Last updated
January 29, 2020

Jenny Sulenia Mirabal is a Psychiatry & Neurology, Psychiatry based in Elmhurst, NY. Jenny Sulenia Mirabal practices in Elmhurst, NY and has the professional credentials of MD. The NPI Number for Jenny Sulenia Mirabal is 1184853897 and holds a License No. 18,069 (PR). The current practice location address for Jenny Sulenia Mirabal is 7901 Broadway, Elmhurst, NY 11373-1329 and can be reached out via phone at 718-334-3570 and via fax at 718-334-5006.

Provider Profile Details

NPI Number
1184853897
Provider Name
Jenny Sulenia Mirabal
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7901 Broadway, Elmhurst, NY 11373-1329
Phone Number
718-334-3570
Fax Number
718-334-5006
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2009
Last Update Date
January 29, 2020
Certification Date
January 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
7901 Broadway
Elmhurst, NY 11373-1329
Zip
11373-1329
Phone Number
718-334-3570
Fax Number
718-334-5006
Elmhurst, NY 11373Get directions →

Provider Business Mailing Address Details

Address
7901 Broadway
Elmhurst, NY 11373-1329
City
Elmhurst
State
NY
Zip
11373-1329
Phone Number
718-334-3570
Fax Number
718-334-5006

License Information

License Number (1)
18,069
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
297365
License State (2)
NY
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jenny S Mirabal, MD?

The NPI number of Dr. Jenny S Mirabal, MD is 1184853897. It was assigned on July 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jenny S Mirabal, MD?

Dr. Jenny S Mirabal, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in PR under license number 18,069.

Where does Dr. Jenny S Mirabal, MD practice?

The practice location is 7901 Broadway, Elmhurst, NY 11373-1329. The office can be reached at 718-334-3570 (phone) or 718-334-5006 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184853897 directly on the NPPES registry website.

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