Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 171360 | NY |
N | 2081P2900X | Pain Medicine | 171360 | NY |
N | 2081S0010X | Sports Medicine | 171360 | NY |
N | 213ES0000X | Sports Medicine | 171360 | NY |
NPI | 1316975725 |
---|---|
Provider Name | Dr. Dina Kaye Miller |
First Address | Great Neck, NY 11024-1803 |
Second Address | Whitestone, NY 11357-3247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 13/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E66940 | (02) | NY |