Miller, Clifford
Miller, Clifford is an individual health care provider with primary practice located at 280 Montauk Hwy , Bay Shore NY 11706-8403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Miller, Clifford can be contacted via phone (631) 758-4444.Contact Information
Primary practice address
280 Montauk Hwy
Bay Shore NY 11706-8403
Phone: (631) 758-4444
Fax: (631) 758-1984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | F332529 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F332529 | New York |
Profile Details
| NPI number | 1851367569 |
|---|---|
| LBN Legal business name | Miller, Clifford |
| Credentials | MS,APRN,BC-FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | May 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851367569 | NPPES |
| New York | MEDICAID | 02439196 |
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