MEDICARE: MS. JAMILA SIKANDER MIAH L.M.S.W

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	071735	NY

General Provider Information

NPI Number	:	1851310502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JAMILA SIKANDER MIAH L.M.S.W

Provider Business Mailing Address
First Line	:	448 BEDFORD RD
Second Line	:
City	:	BEDFORD HILLS
State	:	NY
Zip	:	10507-1616
Country	:	US
Telephone Number	:	914-864-2326
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 ALBANY POST RD
Second Line	:
City	:	MONTROSE
State	:	NY
Zip	:	10548-1434
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:	914-788-4295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	01/13/2009

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