Individual
JAMIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3000
Mailing address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383712
NY
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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