| Doctor Name: | DR. MARTIN B MILLER |
| NPI Number: | 1023157708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 004585 |
| Business Practice Address: | 40 Jon Barrett Rd Patterson, NY - 125632164 |
| Business Phone Number: | 8458789078 |
| Business Fax Number: | 8458783203 |
| Mailing Address: | 378 Mohonk Rd, HIGH FALLS |
| State: | NY |
| Postal Code: | 124405301 |
| Phone Number: | 8456870478 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 004585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |