Organization
ALEXANDER MILLER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ELIHUE NOLAN (MANAGER)
(718) 366-9191
Entity
Organization
Contact information
Practice address
589 KNICKERBOCKER AVE, BROOKLYN, NY 11221
(718) 366-9191
Mailing address
589 KNICKERBOCKER AVE, BROOKLYN, NY 11221
(718) 366-9191
(718) 417-1305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00699665
—
NY
Enumeration date
02/07/2007
Last updated
02/06/2013
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