Individual
LYDIA KATHARINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(434) 882-4655
Mailing address
11 E 29TH ST APT 49C, NEW YORK, NY 10016-7519
(434) 882-4655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
295054
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
295054
NY
Other
Enumeration date
05/14/2013
Last updated
10/25/2021
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