Individual
CAROL MIYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 WEBSTER AVE STE 301, NEW CENTURY MEDICAL ASSOCIATES, POUGHKEEPSIE, NY 12601-1364
(845) 790-6100
(845) 345-9966
Mailing address
243 NORTH ROAD, SUITE 304, PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C., POUGHKEEPSIE, NY 12601-1364
(845) 471-9410
(845) 451-7757
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1712931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01800802
—
NY
Enumeration date
07/15/2006
Last updated
04/23/2015
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