Individual
PATRICIA ELIZABETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20 RIDGE ST, MIDDLETOWN, NY 10940-3305
(845) 343-2500
(845) 343-1077
Mailing address
20 RIDGE ST, MIDDLETOWN, NY 10940-3305
(845) 343-2500
(845) 343-1077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
038521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01093907
—
NY
Enumeration date
10/06/2006
Last updated
06/15/2012
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