Individual
MRS. AVITAL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
20 WEDGEWOOD LN, LAWRENCE, NY 11559-1445
(516) 965-5650
Mailing address
20 WEDGEWOOD LN, LAWRENCE, NY 11559-1445
(516) 965-5650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309730-01
NY
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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