| Doctor Name: | MR. RICHARD J MILLER |
| NPI Number: | 1073880357 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 12411 |
| Business Practice Address: | 19 West 34 St Ph New York City, NY - 10010 |
| Business Phone Number: | 9176121784 |
| Business Fax Number: | |
| Mailing Address: | 117 Perry St Apt 21, NEW YORK |
| State: | NY |
| Postal Code: | 100142356 |
| Phone Number: | 9176121784 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2011 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 12411 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |