Individual
WILLIAM MILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 HAMPTON RD APT 25, SOUTHAMPTON, NY 11968-3019
(631) 644-7244
Mailing address
570 HAMPTON RD APT 25, SOUTHAMPTON, NY 11968-3019
(631) 644-7244
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
199311-1
NY
2085R0202X
Diagnostic Radiology Physician
199311-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01598769
—
NY
Enumeration date
06/29/2006
Last updated
06/23/2023
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