Individual
QUASHON JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 E 94TH ST PH PH, BROOKLYN, NY 11236-4803
(929) 620-0470
Mailing address
1355 E 94TH ST PH PH, BROOKLYN, NY 11236-4803
(929) 620-0470
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
4339330
NY
253Z00000X
In Home Supportive Care Agency
Primary
1037048
NY
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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