Individual
DALE ROBERT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMNHP-BS
Contact information
Practice address
7 HILLSIDE PL, ILION, NY 13357-2109
(646) 858-1804
(315) 363-9286
Mailing address
17603 LONG RIDGE DR, MONTVERDE, FL 34756-4011
(315) 601-3548
(315) 363-9286
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403411
NY
Other
Enumeration date
05/06/2021
Last updated
12/27/2022
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