Individual
MR. EDWIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 FAIRVIEW AVE STE 133-299, HUDSON, NY 12534-1267
(518) 965-3847
Mailing address
160 FAIRVIEW AVE STE 133-299, HUDSON, NY 12534-1267
(518) 965-3847
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-1915333
—
NY
Enumeration date
05/28/2016
Last updated
05/28/2016
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