Individual
MRS. ANN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. ED.
Contact information
Practice address
2874 DAVISON ST, OCEANSIDE, NY 11572-1912
(516) 594-9224
Mailing address
2874 DAVISON ST, OCEANSIDE, NY 11572-1912
(516) 594-9224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
EARLY INTERVENTION PROVIDER AGENCY
NY
Enumeration date
07/18/2012
Last updated
07/18/2012
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