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Individual

ROBERT A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
555 N. BROADWAY, JERICHO, NY 11753
(516) 597-5070
(516) 597-5067
Mailing address
2800 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(516) 622-6000
(516) 629-2027

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
182624
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01600646
NY
Enumeration date
01/04/2007
Last updated
04/07/2015
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