Individual
MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 345-0083
Mailing address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 345-0083
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P126038
NY
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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