institution
The Mia Center Llc
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Medford, New York
NPI 1679242002

The Mia Center Llc is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Medford, NY and is specialized in Psychiatric/Mental Health, Adult. The Mia Center Llc practices in Medford, NY. The NPI Number for The Mia Center Llc is 1679242002 and holds a License No. (New York).

The current practice location address for The Mia Center Llc is 12 Platinum Ct Ste C, Medford, NY and can be reached out via phone at 631-996-4430.

Location: 12 Platinum Ct Ste C, Medford, NY, 11763-2247
institution
Provider Profile Details
NPI Number
1679242002
Provider Name
The Mia Center Llc
Credential
Provider Entity Type
Organization
Address
12 Platinum Ct Ste C, Medford, NY, 11763-2247
Phone Number
631-996-4430
Fax Number
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497902506 05 NY
institution
Provider Business Practice Location Address Details
Address
12 Platinum Ct Ste C
City
State
Zip
11763-2247
Phone Number
631-996-4430
Fax Number
person
Provider Business Mailing Address Details
Address
12 Platinum Ct Ste C
City
State
Zip
11763-2247
Phone Number
631-996-4430
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
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Definition
Definition to come...
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