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

Joseph E Mirro

Individual provider Physician Assistant · NPI 1003474834

Joseph E Mirro is a Physician Assistant in West Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

518 Hunter Ave
West Islip, NY 11795-1641
Phone: (631) 278-9888
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024653 (NY)

Record details

NPI number1003474834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2019
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address518 Hunter Ave, West Islip, NY 11795-1641

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