Individual
MRS. CHRISTINA LYNDELL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 N JAMES ST, ROME, NY 13440-2844
(828) 687-6282
(828) 687-6285
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(609) 364-7157
(865) 692-5900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020563
NY
363AM0700X
Medical Physician Assistant
1460
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400370502
MEDICARE PTAN
NY
Enumeration date
11/01/2006
Last updated
07/21/2022
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