Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 122563 | NY |
NPI | 1033180013 |
---|---|
Provider Name | Dr. Michael H Miller |
First Address | Briarcliff Manor, NY 10510-1461 |
Second Address | Briarcliff Manor, NY 10510-1461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 01/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00712092 | (05) | NY |
C09376 | (02) | NY |