Garcia, Miriam

Garcia, Miriam is an individual health care provider with primary practice located at 19 Henearly Dr , Miller Place NY 11764-3307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Garcia, Miriam can be contacted via phone (631) 331-3656.

Contact Information

Primary practice address
19 Henearly Dr Miller Place NY 11764-3307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400484 New York

Profile Details

NPI number 1821156738
LBN Legal business name Garcia, Miriam
Credentials NPP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Feb 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821156738 NPPES
New York MEDICAID 0246462

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