Individual
JEREMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 UTICA AVE, BROOKLYN, NY 11213-3931
(718) 925-2009
Mailing address
333 WASHINGTON BLVD STE 460, MARINA DEL REY, CA 90292-5152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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