Organization
SHELDON W. MILLER DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON MILLER D.P.M. (PRESIDENT)
(718) 474-0899
Entity
Organization
Contact information
Practice address
15 BEACH 105TH ST, ROCKAWAY PARK, NY 11694-2640
(718) 474-0899
Mailing address
15 BEACH 105TH ST, ROCKAWAY PARK, NY 11694-2640
(718) 474-0899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01179973
—
NY
Enumeration date
03/24/2008
Last updated
04/07/2009
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