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NPI Code Detail

MEDICARE: MIRIAM HALIMI DO

MEDICARE: MIRIAM HALIMI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2208600000XSurgery Physician343966NY

General Provider Information

NPI Number : 1144881483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM HALIMI DO
Provider Business Mailing Address
First Line : 68 CRESCENT BEACH RD
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-1317
Country : US
Telephone Number : 917-421-2700
Fax Number :
Provider Business Practice Location Address
First Line : 374 STOCKHOLM ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-4006
Country : US
Telephone Number : 718-963-7602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/09/2026

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