Individual
MR. THOMAS E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
53 S RIDGE RD, POMONA, NY 10970-2105
(845) 309-0900
(845) 680-0211
Mailing address
53 S RIDGE RD, POMONA, NY 10970-2105
(845) 309-0900
(845) 680-0211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
056166-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572190
—
NY
Enumeration date
01/02/2007
Last updated
07/09/2007
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