Individual
MATTHEW MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16068 21ST AVE, WHITESTONE, NY 11357-3964
(718) 767-1200
(718) 767-2329
Mailing address
160-68 21 AVE, WHITESTONE, NY 11357
(718) 767-1200
(718) 767-2329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148343
NY
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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