Individual
ELEANOR S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2500 NESCONSET HWY BLDG 16, SUITE 63C, STONY BROOK, NY 11790-2555
(631) 444-6250
Mailing address
2500 NESCONSET HWY BLDG 16, SUITE 63C, STONY BROOK, NY 11790-2555
(631) 444-6250
(631) 444-6665
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
002188
NY
363A00000X
Physician Assistant
Primary
002188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00282619
RAILROAD
—
Enumeration date
02/24/2006
Last updated
09/18/2008
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