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NPI Code Detail

MEDICARE: MRS. BETH LYSSA MILLER LMSW

MEDICARE: MRS. BETH LYSSA MILLER LMSW
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
1104100000XSocial Worker9254CT
2104100000XSocial Worker051433NY

General Provider Information

NPI Number : 1720850787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETH LYSSA MILLER LMSW
Provider Business Mailing Address
First Line : 106 DEEPWOOD DR
Second Line :
City : CHAPPAQUA
State : NY
Zip : 10514-2415
Country : US
Telephone Number : 914-523-1983
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHASE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4156
Country : US
Telephone Number : 914-523-1983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2023
Last Update Date : 10/24/2023

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