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Individual

MICHAEL A MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
61 EMERALD PL, ROCK HILL, NY 12775-6049
(845) 794-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
265171
NY
2080P0208X
Pediatric Infectious Diseases Physician
265171
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03461061
NY
Enumeration date
09/19/2009
Last updated
11/13/2012
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