Individual
DR. NATHANIAL R MILETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 WASHINGTON ST STE 100, WATERTOWN, NY 13601-4071
(315) 395-4918
Mailing address
826 WASHINGTON ST STE 100, WATERTOWN, NY 13601-4071
(153) 395-4918
(315) 755-3670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
26961
NE
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
298285
NY
Other
Enumeration date
03/02/2011
Last updated
05/11/2023
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