Individual
MICHAEL LAWRENCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
630 W 168TH ST PH 15-124, NEW YORK, NY 10032-3725
(212) 305-4531
(212) 305-4548
Mailing address
630 W 168TH ST PH 15-124, NEW YORK, NY 10032-3725
(212) 305-4531
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
314337
NY
207ZP0101X
Anatomic Pathology Physician
314337
NY
Other
Enumeration date
04/05/2018
Last updated
05/03/2022
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