Healthcare Provider Details

I. General information

NPI: 1861500704
Provider Name (Legal Business Name): NORA R. MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NORA R. FLORIAN MD

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/07/2023
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOLLY HILL LN STE 270
GREENWICH CT
06830-6074
US

IV. Provider business mailing address

55 HOLLY HILL LN STE 270
GREENWICH CT
06830-6074
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-2990
  • Fax: 203-863-2980
Mailing address:
  • Phone: 203-863-2990
  • Fax: 203-863-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number217462
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number042234
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: