Individual
PHILIP MILLER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 WEST 111TH STREET, NEW YORK, NY 10026
(212) 679-4990
(121) 266-5179
Mailing address
60 BLAUVELT AVE, BERGENFIELD, NJ 07621-1206
(212) 678-4990
(121) 266-5178
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17937
NY
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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