MEDICARE: ROBERT MIRER

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
1	207P00000X	Emergency Medicine Physician	187601	NY
2	207Q00000X	Family Medicine Physician	187601	NY

General Provider Information

NPI Number	:	1801204698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MIRER

Provider Business Mailing Address
First Line	:	13 LAURIE PL
Second Line	:
City	:	GLEN COVE
State	:	NY
Zip	:	11542-3307
Country	:	US
Telephone Number	:	516-671-3666
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 LAURIE PL
Second Line	:
City	:	GLEN COVE
State	:	NY
Zip	:	11542-3307
Country	:	US
Telephone Number	:	516-671-3666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2014
Last Update Date	:	07/24/2014

Similar Medicare Providers

1841203627 — MRS. JAMIE MICHELLE DURKOVIC MS
Practice Location Address:

8501 CHASE GLEN CIR
FAIRFAX STATION, VA
22039-3307

Practice Phone: 703-690-5260
Practice Fax: 703-690-5260

1922419654 — MED-SURG PRACTITIONERS, LLC
Practice Location Address:

85 HARRISTOWN RD , SUITE 201
GLEN ROCK, NJ
07452-3307

Practice Phone: 201-855-8302
Practice Fax: 201-444-3925

1821498973 — MED-SURG DURABLES LLC
Practice Location Address:

85 HARRISTOWN RD
GLEN ROCK, NJ
07452-3307

Practice Phone: 201-834-1100
Practice Fax: 201-444-2327

1609271295 — OASIS MEDICAL AND SURGICAL WELLNESS GROUP LLC
Practice Location Address:

85 HARRISTOWN RD , SUITE 103
GLEN ROCK, NJ
07452-3307

Practice Phone: 844-366-8800
Practice Fax:

1053123745 — ARACELIS DELACRUZ RN
Practice Location Address:

11 GLEN FOREST LN
METHUEN, MA
01844-3307

Practice Phone: 978-902-9942
Practice Fax:

1568304152 — JUAN ORLANDO VELAZQUEZ CUCURULLO M.D.
Practice Location Address:

101 ST ANDREWS LN , NORTHWELL HEALTH - GLEN COVE HOSPITAL
GLEN COVE, NY
11542

Practice Phone: 516-717-4629
Practice Fax:

Directions to “ ROBERT MIRER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.