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Contact Information

326 TOM MILLER ROAD LLC
326 TOM MILLER RD
PLATTSBURGH, NY12901-6430
 Phone: 518-563-7097
 Fax: 518-563-9690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 326 TOM MILLER ROAD LLC · (Female)

NPI # 1235676198
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2017
Last updated 01/30/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 50051508
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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