Johnson, Diane Miller

Johnson, Diane Miller is an sole proprietor health care provider with primary practice located at 233 Union Ave Suite 202, Holbrook NY 11741-1820. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Diane Miller can be contacted via phone (631) 323-1333.

Contact Information

Primary practice address
233 Union Ave Suite 202 Holbrook NY 11741-1820
Fax: (631) 467-0080
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R026438-1 New York

Profile Details

NPI number 1760570782
LBN Legal business name Johnson, Diane Miller
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1760570782 NPPES
New York Other 0051430 GHI
New York Other P2781814 GHI
New York Other 7708481 GHI
New York Other AA73458 GHI
New York Other 145905 GHI
New York Other 24294 GHI

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