Bonnie Miller | New York, NY • PECOS Search

Bonnie Miller

Social Worker

Behavioral Health & Social Service Providers

19 West 34th Street, New York, NY 10001

PECOS Enrollment

Based on the most recent information from CMS, provider Bonnie Miller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1043474786
Provider Type
Individual
Full Name
Miller, Bonnie
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/11/2008
Last Updated
7/11/2008

Contact Information

Practice Location

19 West 34th Street, New York, NY 10001

Unlisted Fax

Mailing Location

46 West 96th St, 1e, New York, NY 10025

(212) 663-1450

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License R037062 New York