Miyawaki, Nobuyuki Bill

Miyawaki, Nobuyuki Bill is an individual health care provider with primary practice located at 200 Old Country Rd Suite 135, Mineola NY 11501-4235. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Miyawaki, Nobuyuki Bill can be contacted via phone (516) 663-2169.

Contact Information

Primary practice address
200 Old Country Rd Suite 135 Mineola NY 11501-4235
Phone: (516) 663-2169
Fax: (516) 663-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 209497 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 209497 New York

Profile Details

NPI number 1487618104
LBN Legal business name Miyawaki, Nobuyuki Bill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 7th, 2023 - about last year

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 1487618104 NPPES
New York Other 10769173 CAQH
New York MEDICAID 02282488 CAQH

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