Pennise, Miriam Lee

Pennise, Miriam Lee is an individual health care provider with primary practice located at 340 Veterans Hwy Ste 12 , Commack NY 11725-4300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pennise, Miriam Lee can be contacted via phone (631) 486-8400.

Contact Information

Primary practice address
340 Veterans Hwy Ste 12 Commack NY 11725-4300
Phone: (631) 486-8400
Fax: (631) 486-8080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 301536 NP New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 379-297 RN New York

Profile Details

NPI number 1790882397
LBN Legal business name Pennise, Miriam Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Dec 6th, 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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