Mienko, Iwona K
Mienko, Iwona K is an sole proprietor health care provider with primary practice located at 6412 Fresh Pond Rd , Ridgewood NY 11385-3331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mienko, Iwona K can be contacted via phone (718) 497-1565.Contact Information
Primary practice address
6412 Fresh Pond Rd
Ridgewood NY 11385-3331
Phone: (718) 497-1565
Fax: (718) 497-1567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 217951 | New York |
Profile Details
| NPI number | 1609140334 |
|---|---|
| LBN Legal business name | Mienko, Iwona K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2012 |
| Last updated | Feb 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609140334 | NPPES |
| New York | MEDICAID | 02105622 |
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