Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELSA GISELLA ESMERALDA MIRASOL, M.D
Active Sole ProprietorDR. ELSA GISELLA ESMERALDA MIRASOL, M.D is a Psychosomatic Medicine healthcare provider located in NORTHPORT, New York. NPI 1881631794 is currently active in the NPPES registry. Verify at CMS.
Psychosomatic Medicine · NORTHPORT, NY
Registration Details
- NPI Number
- 1881631794
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2006 (20.233947661816 yrs)
- Last Updated
- Dec 17, 2010
- Licenses
-
236889-1 (NY)236889-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
79 MIDDLEVILLE RDNORTHPORT, NY, 117682200Browse NY providers · Browse ZIP 11768
- Phone
- 6312614400
- Primary Specialty
-
Psychosomatic Medicine
2084P0015X
- Additional Specialty
- Psychosomatic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.