Miller, Tracey
Miller, Tracey is an individual health care provider with primary practice located at 380 Washington Ave , Roosevelt NY 11575-1845. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Miller, Tracey can be contacted via phone (516) 378-2000.Contact Information
Primary practice address
380 Washington Ave
Roosevelt NY 11575-1845
Phone: (516) 378-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 073066 | New York |
Profile Details
| NPI number | 1588798078 |
|---|---|
| LBN Legal business name | Miller, Tracey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 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 | 1588798078 | NPPES |
| New York | MEDICAID | 00063857 |
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