Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 008841 | NY |
NPI | 1720468176 |
---|---|
Provider Name | Michelle Q Miu |
First Address | New York, NY 10013-4114 |
Second Address | New York, NY 10013-4114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 01/06/2015 |