Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 303140 | NY |
Y | 111NI0900X | Internist | 303140 | NY |
N | 207RP1001X | Pulmonary Disease | 303140 | NY |
NPI | 1043552128 |
---|---|
Provider Name | Eric Alex Miller |
First Address | Bronx, NY 10467-2401 |
Second Address | Bronx, NY 10467-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 03/04/2020 |