Miner, R. Edward

Miner, R. Edward is an individual health care provider with primary practice located at 30 Hagen Dr , Rochester NY 14625-2658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Miner, R. Edward can be contacted via phone (585) 641-0400.

Contact Information

Primary practice address
30 Hagen Dr Rochester NY 14625-2658
Phone: (585) 641-0400
Fax: (585) 641-0300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125942 New York

Profile Details

NPI number 1790755361
LBN Legal business name Miner, R. Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 16th, 2011 - about 13 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 1790755361 NPPES
New York Other PREFERRED CARE PREFERRED CARE
New York MEDICAID 00567111 PREFERRED CARE
New York Other P010125942 PREFERRED CARE

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