Individual
DR. JONATHAN MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5903
(212) 342-5756
Mailing address
622 W 168TH ST PH 17, NEW YORK, NY 10032-3720
(212) 305-5903
(212) 342-5756
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
299608
NY
Other
Enumeration date
03/24/2016
Last updated
04/06/2022
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