Healthcare Provider Details

I. General information

NPI: 1184869620
Provider Name (Legal Business Name): ANNE MILLER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W 27TH ST
NEW YORK NY
10001-5992
US

IV. Provider business mailing address

9939 74TH AVE
FOREST HILLS NY
11375-6805
US

V. Phone/Fax

Practice location:
  • Phone: 212-217-4190
  • Fax: 212-217-4191
Mailing address:
  • Phone: 718-551-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number360237
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: