Individual
JEFFREY DANIEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(631) 920-8043
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
273648
NY
Other
Enumeration date
08/29/2011
Last updated
05/29/2014
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