Organization
MISHKIN MILLER FORMAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J MILLER MD (DOCTOR)
(718) 464-7376
Entity
Organization
Contact information
Practice address
238-25 HILLSIDE AVE, BELLEROSE, NY 11426-1329
(718) 464-7376
(718) 464-0301
Mailing address
238-25 HILLSIDE AVE, BELLEROSE, NY 11426-1329
(718) 464-7376
(718) 464-0301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
072785
NY
207X00000X
Orthopaedic Surgery Physician
082626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094642
—
NY
05
—
B021513
—
NY
Enumeration date
08/29/2006
Last updated
08/22/2020
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