Miranda, Louella M
Miranda, Louella M is an individual health care provider with primary practice located at 88-31 55Th Avenue Suite 201, Elmhurst NY 11373-4686. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miranda, Louella M can be contacted via phone (718) 899-6600.Contact Information
Primary practice address
88-31 55Th Avenue Suite 201
Elmhurst NY 11373-4686
Phone: (718) 899-6600
Fax: (718) 606-3881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 193873 | New York |
Profile Details
| NPI number | 1154360840 |
|---|---|
| LBN Legal business name | Miranda, Louella M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 3rd, 2022 - about 2 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 | 1154360840 | NPPES |
| New York | MEDICAID | 01723642 |
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