Individual
CONRAD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL ROAD, MEDICAL CENTER, PATCHOGUE, NY 11772
(631) 654-7236
(610) 617-6280
Mailing address
5600 SUNRISE HWY, STAT HEALTH SAYVILLE, SAYVILLE, NY 11782-1017
(631) 360-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
112445
NY
Other
Enumeration date
06/20/2006
Last updated
07/27/2015
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