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NPI Code Detail

MEDICARE: DR. HANAN MILLER M.D.

MEDICARE: DR. HANAN MILLER M.D.
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
1207R00000XInternal Medicine Physician209678NY

General Provider Information

NPI Number : 1437143377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANAN MILLER M.D.
Provider Business Mailing Address
First Line : 3715 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1703
Country : US
Telephone Number : 718-377-7988
Fax Number :
Provider Business Practice Location Address
First Line : 2266 CROPSEY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5706
Country : US
Telephone Number : 718-266-6100
Fax Number : 718-265-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/16/2022

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