Individual
DR. CONSTANTINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
299 SYCAMORE LN, ISLANDIA, NY 11749-1586
(631) 348-5109
Mailing address
299 SYCAMORE AVE, A. T. MORROW SCHOOL, ISLANDIA, NY 11749-1742
(631) 348-5109
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0138941
NY
Other
Enumeration date
03/28/2012
Last updated
04/04/2012
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