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NPI Code Detail

MEDICARE: SAMUEL LOUIS MILLER MD

MEDICARE:   SAMUEL LOUIS MILLER  MD
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
1207W00000XOphthalmology Physician101754NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548320187
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL LOUIS MILLER MD
Provider Business Mailing Address
First Line : 587 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2021
Country : US
Telephone Number : 718-943-8274
Fax Number : 718-627-0102
Provider Business Practice Location Address
First Line : 587 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2021
Country : US
Telephone Number : 718-943-8274
Fax Number : 718-627-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 10/22/2009

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Directions to “ SAMUEL LOUIS MILLER MD” Practice Location

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