Shaina Miller, PA-C
Physician Assistant in Bronx, NY. Individual provider (NPI-1).
NPI number1679080964
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1679080964
- Entity type
- Individual (NPI-1)
- Name
- Shaina Miller
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2018
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 021684 | NY | Yes |
Practice location
2015 Grand ConcourseBronx, NY 10453-4303
Phone 718-299-7295 · Fax 718-299-6797
Mailing address
1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507
Phone 718-618-0401 · Fax 347-479-1303
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