Miller, Edward D

Miller, Edward D is an individual health care provider with primary practice located at 601 Riverside Dr United Medical Associates Pc, Johnson City NY 13790-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miller, Edward D can be contacted via phone (607) 770-7365.

Contact Information

Primary practice address
601 Riverside Dr United Medical Associates Pc Johnson City NY 13790-2544
Phone: (607) 770-7365
Fax: (607) 798-1835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0949001 New York

Profile Details

NPI number 1841284387
LBN Legal business name Miller, Edward D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1841284387 NPPES
New York MEDICAID 00580772

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