Individual
NICHOLAS WYATT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, EMERGENCY MEDICINE, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
056669
CT
207P00000X
Emergency Medicine Physician
268681-1
NY
Other
Enumeration date
07/02/2007
Last updated
02/25/2019
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