Healthcare Provider Details

I. General information

NPI: 1235104878
Provider Name (Legal Business Name): AMERICAN ACCESS CARE PHYSICIAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 40TH ST
BROOKLYN NY
11219-1518
US

IV. Provider business mailing address

PO BOX 416173
BOSTON MA
02241-6173
US

V. Phone/Fax

Practice location:
  • Phone: 718-369-1444
  • Fax: 718-369-3066
Mailing address:
  • Phone: 610-644-8900
  • Fax: 484-924-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGG A MILLER
Title or Position: AUTHORIZED OFFICIAL
Credential: M.D.
Phone: 717-515-4048