Individual
MR. LANCE THEODORE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
275 NORTH ST, ST. VINCENT'S HOSPITAL WESTCHESTER, HARRISON, NY 10528
(914) 925-5460
(914) 925-5013
Mailing address
1300 MIDLAND AVE, APT #B35, YONKERS, NY 10704-1409
(914) 610-1148
(914) 925-5013
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
463523
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
463523
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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