Healthcare Provider Details

I. General information

NPI: 1982015947
Provider Name (Legal Business Name): HEALTHCARE MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 FRANKLIN AVE STE B3
HEWLETT NY
11557-1940
US

IV. Provider business mailing address

224 FRANKLIN AVE STE B3
HEWLETT NY
11557-1940
US

V. Phone/Fax

Practice location:
  • Phone: 646-321-2521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number209678
License Number StateNY

VIII. Authorized Official

Name: HANAN MILLER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 646-321-2521