Individual
CATHERINE V MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
81 SHINNECOCK AVE, MASTIC, NY 11950-4233
(631) 889-9077
Mailing address
81 SHINNECOCK AVE, MASTIC, NY 11950-4233
(631) 889-9077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311376
NY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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