Doctor Name: | LAURA A. MILLER |
NPI Number: | 1720258783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 076157 |
Business Practice Address: | 68 Harris Bushville Rd Harris, NY - 12742 |
Business Phone Number: | 8457943300 |
Business Fax Number: | |
Mailing Address: | 48 Naylor Rd, WHITE LAKE |
State: | NY |
Postal Code: | 12786 |
Phone Number: | 8455837138 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2008 |
NPI Last Update Date: | 03/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 076157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |