Miller, Fredric R
Miller, Fredric R is an sole proprietor health care provider with primary practice located at 20 W Lincoln Ave Suite 201, Valley Stream NY 11580. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Miller, Fredric R can be contacted via phone (516) 872-7900.Contact Information
Primary practice address
20 W Lincoln Ave Suite 201
Valley Stream NY 11580
Phone: (516) 872-7900
Fax: (516) 872-0305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 165451 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 165451 | New York |
Profile Details
| NPI number | 1962505909 |
|---|---|
| LBN Legal business name | Miller, Fredric R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Sep 24th, 2018 - about 7 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 | 1962505909 | NPPES |
| New York | MEDICAID | 01358052 |
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