Elsa Gisella Esmeralda Mirasol in Northport - Psychosomatic Medicine
Elsa Gisella Esmeralda Mirasol - NPI 1881631794
Elsa Gisella Esmeralda Mirasol is a Psychosomatic Medicine in Northport, New York. Elsa Gisella Esmeralda Mirasol practices all healthcare services and medical treatments related to Psychosomatic Medicine. The NPI Number for Elsa Gisella Esmeralda Mirasol is 1881631794. The last update date is 2010-12-17.
Elsa Gisella Esmeralda Mirasol's current location address is 79 Middleville Rd, Northport, New York. You can contact this provider via phone number 6312614400. The mailing address for Elsa Gisella Esmeralda Mirasol is 79 Middleville Rd, Northport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elsa Gisella Esmeralda Mirasol |
|---|---|
| Address | 79 Middleville Rd, Northport, New York |
| Phone Number | 6312614400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1881631794 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2010-12-17 |
Provider Mailing Address Detail
| Address | 79 Middleville Rd |
|---|---|
| City | Northport |
| State | New York (NY) |
| Post Code | 117682200 |
| Phone Number | 6312614400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychosomatic Medicine |
|---|---|
| Taxonomy | 2084P0015X |
| Licence No | 236889-1 |
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Definition: Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical o |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elsa Gisella Esmeralda Mirasol by the Centers for Medicare & Medicaid Services?
The Elsa Gisella Esmeralda Mirasol has been issued the NPI (National Provider Identifier) 1881631794, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elsa Gisella Esmeralda Mirasol is located?
The Elsa Gisella Esmeralda Mirasol is situated at the following address: 79 Middleville Rd, Northport, NY, 117682200.
What is Elsa Gisella Esmeralda Mirasol's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elsa Gisella Esmeralda Mirasol's specialized field of practice is Psychosomatic Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0015X.
On what date did the Elsa Gisella Esmeralda Mirasol receive its 1881631794 assignment from the Centers for Medicare & Medicaid Services?
The Elsa Gisella Esmeralda Mirasol was assigned its 1881631794 by the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the information related to Elsa Gisella Esmeralda Mirasol most recently updated or refreshed?
The details pertaining to the Elsa Gisella Esmeralda Mirasol, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-17.