Provider Demographics
NPI:1851487920
Name:MIRANTE, ROSANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSANNA
Middle Name:
Last Name:MIRANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E 87 ST
Mailing Address - Street 2:1G
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-987-0707
Mailing Address - Fax:212-987-1949
Practice Address - Street 1:55 E 87 ST
Practice Address - Street 2:1G
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-987-4950
Practice Address - Fax:212-987-1949
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189638208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F67409Medicare UPIN