Miller, Diana R

Miller, Diana R is an sole proprietor health care provider with primary practice located at 4377 Bronx Blvd Suite202, Bronx NY 10466-1397. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Diana R can be contacted via phone (718) 519-7672.

Contact Information

Primary practice address
4377 Bronx Blvd Suite202 Bronx NY 10466-1397
Phone: (718) 519-7672
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 277902 New York

Profile Details

NPI number 1467584524
LBN Legal business name Miller, Diana R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Nov 21st, 2011 - about 15 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 1467584524 NPPES
New York MEDICAID 02798790

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