Individual
MR. RICARDO ANTHONY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
411 W 114TH ST, NEW YORK, NY 10025-1710
(212) 523-5204
Mailing address
18 KELLER ST, VALLEY STREAM, NY 11580-2642
(516) 837-9518
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400863
NY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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