Individual
JUDITH L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 SUNRISE HWY, BUILDING 300, GREAT RIVER, NY 11739-1001
(631) 854-0170
(631) 854-0176
Mailing address
3500 SUNRISE HWY, BUILDING 300, GREAT RIVER, NY 11739-1001
(631) 854-0170
(631) 854-0176
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
116000464
NY
Other
Enumeration date
11/06/2006
Last updated
03/31/2014
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