Individual
MR. CLIFFORD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,APRN,BC-FNP
Contact information
Practice address
280 MONTAUK HWY, BAY SHORE, NY 11706-8403
(631) 758-4444
(631) 758-1984
Mailing address
712 MAIN ST, ISLIP, NY 11751-3620
(631) 666-3951
(631) 750-1177
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
F332529
NY
363LF0000X
Family Nurse Practitioner
Primary
F332529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02439196
—
NY
Enumeration date
02/23/2006
Last updated
05/23/2018
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