Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miromedical PC

Organization Allergy & Immunology Physician · NPI 1003120619

Miromedical PC is an Allergy & Immunology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2364 Frederick Douglass Blvd
New York, NY 10027-3640
Phone: (212) 666-3533
Fax: (212) 666-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 093763 (NY)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 093763 (NY)

Record details

NPI number1003120619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalia Dochim — Manager · (212) 666-3533
NPI enumeratedAugust 6, 2010
Last updated in NPPESAugust 6, 2010
Mailing address2364 Frederick Douglass Blvd, New York, NY 10027

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