Mirasol, Elsa Gisella Esmeralda

Mirasol, Elsa Gisella Esmeralda is an sole proprietor health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768-2200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychosomatic Medicine is her primary health care specialty. Mirasol, Elsa Gisella Esmeralda can be contacted via phone (631) 261-4400.

Contact Information

Primary practice address
79 Middleville Rd Northport NY 11768-2200
Phone: (631) 261-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 236889-1 New York
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 236889-1 New York

Profile Details

NPI number 1881631794
LBN Legal business name Mirasol, Elsa Gisella Esmeralda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Dec 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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