Individual
DR. ANDREW JUDSON MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2567 ROUTE 55, POUGHQUAG, NY 12570-5106
(845) 724-4840
(845) 724-4841
Mailing address
PO BOX 644, POUGHQUAG, NY 12570-5106
(845) 724-4840
(845) 724-4841
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
00782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO7820-6
WORKER'S COMPENSATION
NY
Enumeration date
07/25/2007
Last updated
07/20/2010
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