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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851367569 NPPES
New York MEDICAID 02439196

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