Dorell D Miller-Anderson
Registered Nurse, Psych/Mental Health, Adult in Queens Village, NY. Individual provider (NPI-1).
NPI number1669970026
StatusActive
Last updated in NPPESJan 30, 2018
Details
- NPI
- 1669970026
- Entity type
- Individual (NPI-1)
- Name
- Dorell D Miller-Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2018
- Last updated
- Jan 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 562202 | NY | Yes |
Other names
- Dorell Miller (Former Name)
Practice location
7925 Winchester BlvdQueens Village, NY 11427-2128
Phone 718-264-7500
Mailing address
7925 Winchester BlvdQueens Village, NY 11427-2128
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