Provider Demographics
NPI:1013427871
Name:LAURA MIESZERSKI MD, PLLC
Entity Type:Organization
Organization Name:LAURA MIESZERSKI MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIESZERSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-352-8334
Mailing Address - Street 1:1825 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4432
Mailing Address - Country:US
Mailing Address - Phone:914-352-8334
Mailing Address - Fax:845-523-1259
Practice Address - Street 1:1825 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4432
Practice Address - Country:US
Practice Address - Phone:914-352-8334
Practice Address - Fax:845-523-1259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty