Individual
CONNIE L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5825 CATALPA AVE, RIDGEWOOD, NY 11385-5001
(718) 381-8003
(718) 381-3519
Mailing address
5825 CATALPA AVE, RIDGEWOOD, NY 11385-5001
(718) 381-8003
(718) 381-3519
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
355863
NY
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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