Miscilla Criam, is a
Contractor physician based in Baldwin, New York. Miscilla Criam is licensed to practice in New York (license number 004360-01) and her current practice location is 2703 Milburn Ave, Baldwin, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 499-8496.
NPI number for Miscilla Criam is 1306615828 and her current mailing address is 17244 133rd Ave Apt 7d, Jamaica, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306615828.
Physician's Profile
| Full Name | Miscilla Criam |
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| Gender | Female |
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| Speciality | Contractor |
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| Location | 2703 Milburn Ave, Baldwin, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306615828
- Provider Enumeration Date: 12/26/2023
- Last Update Date: 12/26/2023
Medical Identifiers
Medical identifiers for Miscilla Criam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306615828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 004360-01 (New York) | Secondary |
| 171W00000X | Contractor | 004360-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miscilla Criam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miscilla Criam,
17244 133rd Ave Apt 7d,
Jamaica, NY 11434-3929
Ph: (917) 449-3158 | Miscilla Criam,
2703 Milburn Ave,
Baldwin, NY 11510-4115
Ph: (917) 499-8496 |
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