Organization
NEUROAXIS NEUROSURGICAL ASSOC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN I MILLER M.D. (PARTNER)
(718) 459-7700
Entity
Organization
Contact information
Practice address
9525 QUEENS BLVD, 2ND FLOOR, DEPT. OF NEUROSURGERY, REGO PARK, NY 11374-4511
(718) 459-7700
(718) 286-1140
Mailing address
PO BOX 747821, REGO PARK, NY 11374-7821
(718) 459-7700
(718) 286-1140
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
160105
NY
207T00000X
Neurological Surgery Physician
180402
NY
207T00000X
Neurological Surgery Physician
194649
NY
207T00000X
Neurological Surgery Physician
202873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01027412
—
NY
05
—
01514929
—
NY
05
—
01750081
—
NY
05
—
02061503
—
NY
Enumeration date
04/02/2008
Last updated
07/31/2008
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