Miller, Eleanor S
Miller, Eleanor S is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 16 Suite 63C, Stony Brook NY 11790-2555. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Miller, Eleanor S can be contacted via phone (631) 444-6250.Contact Information
Primary practice address
2500 Nesconset Hwy Bldg 16 Suite 63C
Stony Brook NY 11790-2555
Phone: (631) 444-6250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 002188 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002188 | New York |
Profile Details
| NPI number | 1376519876 |
|---|---|
| LBN Legal business name | Miller, Eleanor S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 18th, 2008 - about 16 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 | 1376519876 | NPPES |
| Other | P00282619 | RAILROAD |
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