Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 1756331 | NY |
NPI | 1003999491 |
---|---|
Provider Name | Dr. Sheryl R Miller |
First Address | Philadelphia, PA 19195-2442 |
Second Address | New York, NY 10003-3314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 11/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3423748 | AETNA HMO (01) | |
3K1011 | EMPIRE (01) | |
4484S | (02) | |
5325203 | AETNA PPO (01) | |
9493246 | CIGNA (01) |