Ms Jennifer R Miller, PHD is a
Clinical Neuropsychologist based in New York, New York. Ms Jennifer R Miller is licensed to practice in New York (license number 025852) and her current practice location is
117 W 72nd St Fl 3, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(212) 799-7777.
NPI number for Ms Jennifer R Miller is 1699456764 and her current mailing address is 72 Redwood Rd, Sag Harbor, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699456764.
Healthcare Provider's Profile
| Full Name | Ms Jennifer R Miller |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 117 W 72nd St Fl 3, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699456764
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 07/31/2023
Medical Identifiers
Medical identifiers for Ms Jennifer R Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699456764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 025852 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 025852 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer R Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jennifer R Miller, PHD
72 Redwood Rd,
Sag Harbor, NY 11963-2634
Ph: () - | Ms Jennifer R Miller, PHD
117 W 72nd St Fl 3,
New York, NY 10023-3204
Ph: (212) 799-7777 |
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