Individual
DR. BRETT MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., DDS
Contact information
Practice address
130 EAST 77TH ST, BLACK HALL, 10TH FLOOR, NEW YORK, NY 10075
(212) 434-4500
Mailing address
130 EAST 77TH STREET, BLACK HALL, 10TH FLOOR, NEW YORK, NY 10075
(212) 434-4500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19693
TX
207Y00000X
Otolaryngology Physician
Primary
256745-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176986101
—
TX
Enumeration date
05/21/2007
Last updated
03/09/2023
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