Individual
SUSAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,RN, CDCES
Contact information
Practice address
301 PROSPECT AVE UNIT 5-2, SYRACUSE, NY 13203-1807
(315) 448-6451
Mailing address
7850 MYERS RD, KIRKVILLE, NY 13082-9733
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
405093
NY
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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