Miranda, Mary Anne
Miranda, Mary Anne is an sole proprietor health care provider with primary practice located at 931 Hallock Ave , Port Jefferson Station NY 11776-1228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Miranda, Mary Anne can be contacted via phone (631) 331-7200.Contact Information
Primary practice address
931 Hallock Ave
Port Jefferson Station NY 11776-1228
Phone: (631) 331-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F304650 | New York |
Profile Details
| NPI number | 1942492897 |
|---|---|
| LBN Legal business name | Miranda, Mary Anne |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Jan 13th, 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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