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Individual
ZACK BELMUNDO MILLER
Active
Individual
ZACK BELMUNDO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017264
NYS LICENSE NUMBER
NY
Enumeration date
07/30/2007
Last updated
07/30/2007
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