Individual
CHRISTY ANGELA MILLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4804 TOWNEHOUSE DR, CORAM, NY 11727-2860
(631) 372-3325
Mailing address
4804 TOWNEHOUSE DR, CORAM, NY 11727-2860
(631) 372-3325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
706657
NY
164W00000X
Licensed Practical Nurse
308476-1
NY
Other
Enumeration date
12/05/2011
Last updated
12/21/2015
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