Miller, Bonnie P.

Miller, Bonnie P. is an individual health care provider with primary practice located at 222 Station Plz N Suite 611, Mineola NY 11501-3808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Miller, Bonnie P. can be contacted via phone (516) 663-2532.

Contact Information

Primary practice address
222 Station Plz N Suite 611 Mineola NY 11501-3808
Fax: (516) 663-2233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 192115 New York

Profile Details

NPI number 1760406722
LBN Legal business name Miller, Bonnie P.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 26th, 2021 - about 5 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 1760406722 NPPES
New York MEDICAID 01536685

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