Miscilla Criam, in Baldwin, NY - Contractor

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.

Contact Information

	Miscilla Criam,
	2703 Milburn Ave, Baldwin, NY 11510-4115
	(917) 499-8496
	Not Available

Physician's Profile

Full Name	Miscilla Criam
Gender	Female
Speciality	Contractor
Location	2703 Milburn Ave, Baldwin, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

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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Miscilla Criam, - Contractor in Baldwin, NY