Miller, Enid Laurie
Miller, Enid Laurie is an individual health care provider with primary practice located at 5928 Little Neck Pkwy , Little Neck NY 11362-2532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Enid Laurie can be contacted via phone (718) 224-0566.Contact Information
Primary practice address
5928 Little Neck Pkwy
Little Neck NY 11362-2532
Phone: (718) 224-0566
Fax: (718) 224-7544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R-051207-1 | New York |
Profile Details
| NPI number | 1124057575 |
|---|---|
| LBN Legal business name | Miller, Enid Laurie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1124057575 | NPPES |
| New York | MEDICAID | 01382663 |
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