Miller, Kenneth Marc

Miller, Kenneth Marc is an individual health care provider with primary practice located at 311 E 79Th St , New York NY 10021-0903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Miller, Kenneth Marc can be contacted via phone (212) 996-6633.

Contact Information

Primary practice address
311 E 79Th St New York NY 10021-0903
Phone: (212) 996-6633
Fax: (212) 996-6677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 210303 New York

Profile Details

NPI number 1164424099
LBN Legal business name Miller, Kenneth Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 24th, 2008 - about 18 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 1164424099 NPPES
New York Other 1V7471 EMPIRE BLUE CROSS BLUE SH
New York Other 2595177 EMPIRE BLUE CROSS BLUE SH
New York Other P2479763 EMPIRE BLUE CROSS BLUE SH
New York Other 4C0580 EMPIRE BLUE CROSS BLUE SH
New York MEDICAID 02133062 EMPIRE BLUE CROSS BLUE SH
New York Other MK0303 EMPIRE BLUE CROSS BLUE SH

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