Healthcare Provider Details

I. General information

NPI: 1144557547
Provider Name (Legal Business Name): LINDSAY B MILLER M.S. ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 11/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E 29TH ST APT. 2J
NEW YORK NY
10016-8173
US

IV. Provider business mailing address

155 E 29TH ST APT. 2J
NEW YORK NY
10016-8173
US

V. Phone/Fax

Practice location:
  • Phone: 516-318-9827
  • Fax:
Mailing address:
  • Phone: 516-318-9827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number1280374
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: