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Individual

ROBERT RAYMOND MILJOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC, MS, RN

Contact information

Practice address
273 RIDGE RD, BUFFALO, NY 14218-1222
(716) 929-6888
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
634131
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402793
NY

Other

Enumeration date
08/23/2010
Last updated
07/27/2023
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