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Organization
PREMIER EDX & WELLNESS
Active
Organization
PREMIER EDX & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA LEE MILLER (PRESIDENT)
(845) 641-1212
Entity
Organization
Contact information
Practice address
11 VIOLA RD, SUFFERN, NY 10901-3205
(845) 641-1212
Mailing address
11 VIOLA RD, SUFFERN, NY 10901-3205
(845) 641-1212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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