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NPI Code Detail

MEDICARE: DR. MARTIN G MILLER D.P.M.

MEDICARE:  DR. MARTIN G MILLER  D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN003272NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
34103190001OTHERNYMEDICARE DMERC NSC #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10057760OTHERNYGHI PROVIDER ID #
221214OTHERNYVYTRA PROVIDER ID #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
54405430OTHERNYOXFORD PROVIDER ID #
6A08008182OTHERNYDMERC SUBMITTER ID #
70880916OTHERNYAETNA USHC PROVIDER ID #

General Provider Information

NPI Number : 1194729780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN G MILLER D.P.M.
Provider Business Mailing Address
First Line : 88 HARMON ST
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2712
Country : US
Telephone Number : 516-889-7056
Fax Number :
Provider Business Practice Location Address
First Line : 23 ATLANTIC AVE
Second Line :
City : FREEPORT
State : NY
Zip : 11520-5103
Country : US
Telephone Number : 516-867-0560
Fax Number : 516-867-0561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 03/28/2008

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