Individual
ELISHEVA B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
813 QUENTIN RD, BROOKLYN, NY 11223-2251
(718) 998-8291
(718) 375-5212
Mailing address
813 QUENTIN RD, BROOKLYN, NY 11223-2251
(718) 998-8291
(718) 375-5212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011247
NY
Other
Enumeration date
06/27/2006
Last updated
01/31/2011
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