Individual
THEODORE T. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10021-4872
(212) 606-1233
Mailing address
535 E 70TH ST, DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10021-4872
(212) 606-1233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
175132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637403
—
NY
05
—
01422935
—
NY
Enumeration date
09/16/2006
Last updated
04/14/2021
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