National Provider Identifier Database

DOC MYRIAS FAMILY MEDICINE PLLC
Primary Care


Contact Information

DOC MYRIA'S FAMILY MEDICINE PLLC
571 STATE ROUTE 143
WESTERLO, NY12193
Phone: 518-797-3238
Fax: 518-797-3238
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for DOC MYRIA'S FAMILY MEDICINE PLLC

NPI Number 1639331754
Legal business name
LBN
DOC MYRIA'S FAMILY MEDICINE PLLC
Authorized official MYRIA EMENY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/30/2008
Last updated 07/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 230768

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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