MEDICARE: HANAN MILLER MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	209678	NY

General Provider Information

NPI Number	:	1508099334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANAN MILLER MD, PC

Provider Business Mailing Address
First Line	:	3715 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 LOUISIANA AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11239-1526
Country	:	US
Telephone Number	:	718-669-7100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HANAN MILLER
Credential	:	MD
Telephone Number	:	718-377-7988

Provider Enumeration Date	:	08/27/2009
Last Update Date	:	09/16/2022

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