Miron, Diego E
Miron, Diego E is an individual health care provider with primary practice located at 7 Southwoods Blvd , Albany NY 12211-2526. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Miron, Diego E can be contacted via phone (518) 445-2505.Contact Information
Primary practice address
7 Southwoods Blvd
Albany NY 12211-2526
Phone: (518) 445-2505
Fax: (518) 445-2508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 052080-1 | New York |
Profile Details
| NPI number | 1497821854 |
|---|---|
| LBN Legal business name | Miron, Diego E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Aug 20th, 2007 - about 17 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 | 1497821854 | NPPES |
| New York | Other | 10115921 | CDPHP |
| New York | MEDICAID | 02703166 | CDPHP |
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