Individual
DOUGLAS G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4800 SUNRISE HWY, BOHEMIA, NY 11716
(631) 567-3500
(631) 567-0074
Mailing address
437 GATES AVE, EAST MEADOW, NY 11554
(516) 486-5033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0039031
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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