Provider Demographics
NPI:1831646710
Name:PARTNOW, MIRI
Entity Type:Individual
Prefix:
First Name:MIRI
Middle Name:
Last Name:PARTNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7314 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6237
Mailing Address - Country:US
Mailing Address - Phone:718-877-5427
Mailing Address - Fax:
Practice Address - Street 1:7314 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6237
Practice Address - Country:US
Practice Address - Phone:718-877-5427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist