Individual
CAROL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 MAIN ST STE 1, JOHNSON CITY, NY 13790-2065
(607) 754-9870
(607) 785-9862
Mailing address
401 MAIN ST STE 1, JOHNSON CITY, NY 13790-2065
(607) 754-9870
(607) 785-9862
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
178206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01153635
—
NY
Enumeration date
03/31/2006
Last updated
01/17/2020
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