Miron, Carrie B
Miron, Carrie B is an individual health care provider with primary practice located at 100 Broad St , Glens Falls NY 12801-4349. 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. Miron, Carrie B can be contacted via phone (518) 792-2223.Contact Information
Primary practice address
100 Broad St
Glens Falls NY 12801-4349
Phone: (518) 792-2223
Fax: (518) 792-8231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 012099 | New York |
Profile Details
| NPI number | 1700075496 |
|---|---|
| LBN Legal business name | Miron, Carrie B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Apr 4th, 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 | 1700075496 | NPPES |
| New York | MEDICAID | 03271354 |
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