Individual
DR. RICHARD LAWRENCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MAIN ST, SUITE 5, SETAUKET, NY 11733-2918
(631) 751-7070
(631) 751-7662
Mailing address
200 MAIN ST, SUITE 5, SETAUKET, NY 11733-2918
(631) 751-7070
(631) 751-7662
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
122854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230855
—
NY
01
—
CD-122854-3
WORKMANS' COMP
NY
Enumeration date
06/29/2006
Last updated
03/07/2023
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