Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 026716-1 | NY |
NPI | 1104070572 |
---|---|
Provider Name | Karen Beth Miller |
First Address | Briarcliff Manor, NY 10510-1239 |
Second Address | Briarcliff Manor, NY 10510-1239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 20/06/2016 |