Miller, Tricia D

Miller, Tricia D is an individual health care provider with primary practice located at 79 Hammond Ln Suite 2, Plattsburgh NY 12901-2008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Tricia D can be contacted via phone (518) 563-5900.

Contact Information

Primary practice address
79 Hammond Ln Suite 2 Plattsburgh NY 12901-2008
Fax: (518) 563-5903
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0175371 New York

Profile Details

NPI number 1720008147
LBN Legal business name Miller, Tricia D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 9th, 2014 - about 10 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 1720008147 NPPES
Florida MEDICAID 292485400

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