Individual
MR. CARL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
3838 FLATLANDS AVE, BROOKLYN, NY 11234-3525
(718) 377-5000
Mailing address
1318 E 86TH ST, BROOKLYN, NY 11236-5132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009553
NY
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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