Organization
ARCK NURSE PRACTITIONER IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO MILLER (NURSE PRACTITIONER)
(516) 568-7032
Entity
Organization
Contact information
Practice address
111 SMITHTOWN BYP STE 122, HAUPPAUGE, NY 11788-2512
(516) 568-7032
Mailing address
115 S CORONA AVE, VALLEY STREAM, NY 11580-6217
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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