Individual
MR. BORIS JOSEPH MILLER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 BURR RD, EAST NORTHPORT, NY 11731
(631) 499-4912
Mailing address
31 BURR RD., EAST NORTHPORT, NY 11731
(631) 499-4912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
091842
NY
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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