1 Miller Medical PC
Neuromusculoskeletal Medicine, Sports Medicine in Farmingdale, NY. Organization (NPI-2).
NPI number1568791663
StatusActive
Last updated in NPPESDec 18, 2009
Details
- NPI
- 1568791663
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Miller Medical PC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2009
- Last updated
- Dec 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 188292 | NY | Yes |
Practice location
1 Miller RdFarmingdale, NY 11735-2015
Phone 516-755-5855 · Fax 516-755-0330
Mailing address
1 Miller RdFarmingdale, NY 11735-2015
Phone 516-755-5855 · Fax 516-755-0330
Authorized official
Steven Wong
President
5167555855
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