Individual
MAGUIRE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(516) 499-4674
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018967
NY
Other
Enumeration date
08/26/2015
Last updated
09/15/2015
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