Individual
JANICE MILES-SERVICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MADISON AVE, AMITYVILLE, NY 11701-1826
(631) 703-9958
Mailing address
40 MADISON AVE, AMITYVILLE, NY 11701-1826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007785
NY
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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