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
Fax: (631) 751-7662
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023046935 NPPES
New York MEDICAID 00230855
New York Other CD-122854-3

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