Miller, Marianne D

Miller, Marianne D is an individual health care provider with primary practice located at 2050 Tilden Ave Box 1000, New Hartford NY 13413-3613. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Miller, Marianne D can be contacted via phone (315) 797-3114.

Contact Information

Primary practice address
2050 Tilden Ave Box 1000 New Hartford NY 13413-3613
Phone: (315) 797-3114
Fax: (315) 624-0474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 023915 New York

Profile Details

NPI number 1740425347
LBN Legal business name Miller, Marianne D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2008
Last updated Jun 22nd, 2012 - about 13 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 1740425347 NPPES
New York MEDICAID 00474180
New York MEDICAID 334526
New York MEDICAID 335475

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