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
Fax: (518) 792-8231
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700075496 NPPES
New York MEDICAID 03271354

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