Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 320082 | NY |
NPI | 1447561998 |
---|---|
Provider Name | Dr. Paul D. Miller |
First Address | Binghamton, NY 13905-2212 |
Second Address | Binghamton, NY 13905-2212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 06/04/2016 |