Individual
NOEL ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
24 COBBLESTONE DR, RIDGE, NY 11961-1719
(631) 921-8190
Mailing address
24 COBBLESTONE DR, RIDGE, NY 11961-1719
(631) 921-8190
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
014808
NY
Other
Enumeration date
08/20/2008
Last updated
10/17/2017
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