C. Miller Family Health NP PLLC
Clinic/Center, Primary Care in Bronx, NY. Organization (NPI-2).
NPI number1316628670
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1316628670
- Entity type
- Organization (NPI-2)
- Legal business name
- C. Miller Family Health NP PLLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Hydriglo Health And Wellness (Doing Business As)
Practice location
936 E Gun Hill RdBronx, NY 10469-3708
Phone 718-957-7544 · Fax 718-957-7545
Mailing address
936 E Gun Hill RdBronx, NY 10469-3708
Phone 718-957-7544 · Fax 718-957-7545
Authorized official
Cavel Miller
Ceo
7189577544
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