Individual
MR. CARLOS ANTONIO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14202 20TH AVE, 3RD FLOOR, FLUSHING, NY 11351-3000
(718) 559-0516
(718) 358-7502
Mailing address
1706 MANATUCK BLVD, BAY SHORE, NY 11706-1556
(516) 216-2955
(631) 231-2389
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
629863-1
NY
Other
Enumeration date
06/02/2016
Last updated
06/03/2016
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