The Mia Center Llc

LBN: The Mia Center Llc
The Mia Center Llc is an health care organization with primary practice located at 12 Platinum Ct Ste C , Medford NY 11763-2247. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as the primary health care specialty. The Mia Center Llc can be contacted via phone (631) 996-4430, or through Field, Karen Constance via phone (631) 996-4430.

Contact Information

Primary practice address
12 Platinum Ct Ste C Medford NY 11763-2247
Phone: (631) 996-4430
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Field, Karen Constance Pediatric Nurse Practitioner (PNP)
Phone: (631) 996-4430

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X

Profile Details

NPI number 1679242002
LBN Legal business name The Mia Center Llc
DBA Doing business as
Authorized official Field, Karen Constance Pediatric Nurse Practitioner (PNP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2021
Last updated Sep 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679242002 NPPES
New York MEDICAID 1497902506

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