Individual
CHARLES LEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
49 GRANTS RD, LIBERTY, NY 12754-2640
(845) 798-9316
Mailing address
49 GRANTS RD, LIBERTY, NY 12754-2640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691487
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2018
Last updated
07/28/2025
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