Individual
KONSTANTIN MILLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7979
(914) 493-8373
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048893
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
218796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02444177
—
NY
Enumeration date
05/27/2006
Last updated
09/27/2023
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