Individual
MR. LAURENCE H MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
110 SYCAMORE CIR, STONY BROOK, NY 11790-3168
(631) 804-1757
Mailing address
110 SYCAMORE CIR, STONY BROOK, NY 11790-3168
(631) 804-1757
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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