| Lawrence C Miller Md Pc | |
|
1430 Clove Rd Staten Island NY 10301-4300 | |
| (718) 816-8322 | |
| (718) 816-8519 |
| Full Name | Lawrence C Miller Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
| Location | 1430 Clove Rd, Staten Island, New York |
| Authorized Official Name and Position | Lawrence C Miller (PRESIDENT) |
| Authorized Official Contact | 7188168322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence C Miller Md Pc 1430 Clove Rd Staten Island NY 10301-4300 Ph: (718) 816-8322 | Lawrence C Miller Md Pc 1430 Clove Rd Staten Island NY 10301-4300 Ph: (718) 816-8322 |
| NPI Number | 1548461387 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548461387 | NPI | - | NPPES |
| 00114916 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 80495 (New York) | Primary |
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