Miller, Richard Lawrence
Miller, Richard Lawrence is an individual health care provider with primary practice located at 200 Main St Suite 5, Setauket NY 11733-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Miller, Richard Lawrence can be contacted via phone (631) 751-7070.Contact Information
Primary practice address
200 Main St Suite 5
Setauket NY 11733-2918
Phone: (631) 751-7070
Fax: (631) 751-7662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 122854 | New York |
Profile Details
NPI number | 1023046935 |
---|---|
LBN Legal business name | Miller, Richard Lawrence |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1023046935 | NPPES |
New York | MEDICAID | 00230855 | |
New York | Other | CD-122854-3 |
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