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Individual

DR. LESLIE JEANNE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
61 E 77TH ST, NEW YORK, NY 10075-1817
(212) 772-3111
(347) 905-7860
Mailing address
345 WOODCLIFF DR STE 1A, FAIRPORT, NY 14450-4210
(212) 772-3111
(973) 365-9980

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07408800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
166667
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01258786
NY
05
8849609
NJ
Enumeration date
01/25/2006
Last updated
03/06/2026
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