Individual
MR. RUSSELL LOWELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 BROADWAY, HEWLETT, NY 11557-9998
(516) 374-6838
(516) 374-2362
Mailing address
PO BOX 360, HEWLETT, NY 11557-9998
(516) 374-6838
(516) 374-2362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
106400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004168716
—
NY
Enumeration date
09/27/2005
Last updated
01/08/2010
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