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Organization

FOUR SEASONS PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRY SELLERS MILLER M.D. (PARTNER)
(518) 383-2425
Entity
Organization

Contact information

Practice address
532 MOE RD, CLIFTON PARK, NY 12065-3822
(518) 383-2425
(518) 383-3255
Mailing address
532 MOE RD, CLIFTON PARK, NY 12065-3822
(518) 383-2425
(518) 383-3255

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00347562
NY
05
01355619
NY
Enumeration date
06/23/2005
Last updated
04/03/2025
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