Miner, Johnetta
Miner, Johnetta is an sole proprietor health care provider with primary practice located at 1648 Amsterdam Ave , New York NY 10031-6154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Miner, Johnetta can be contacted via phone (718) 379-8597.Contact Information
Primary practice address
1648 Amsterdam Ave
New York NY 10031-6154
Phone: (718) 379-8597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F420329-1 | New York |
Profile Details
| NPI number | 1285624106 |
|---|---|
| LBN Legal business name | Miner, Johnetta |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2005 |
| Last updated | Aug 25th, 2026 - about 2 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285624106 | NPPES |
| New York | MEDICAID | 02241798 |
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