Miles, Michael Graham

Miles, Michael Graham is an individual health care provider with primary practice located at 38 Larose St , Glens Falls NY 12801-3452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miles, Michael Graham can be contacted via phone (518) 824-8181.

Contact Information

Primary practice address
38 Larose St Glens Falls NY 12801-3452
Fax: (833) 819-0268
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 268277 New York

Profile Details

NPI number 1649412982
LBN Legal business name Miles, Michael Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Oct 25th, 2023 - about last year

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 1649412982 NPPES
New York MEDICAID 03546343

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