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Individual

DR. DEAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND STREET, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 353-5600
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186665-1
NY
207R00000X
Internal Medicine Physician
25MA08255400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01506725
NY
Enumeration date
05/22/2006
Last updated
01/03/2019
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