Individual
BRIDGET MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 ACKERMAN AVE, SYRACUSE, NY 13210-3035
(315) 857-1983
Mailing address
1049 ACKERMAN AVE, SYRACUSE, NY 13210-3035
(315) 857-1983
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
178931-1
NY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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