Doctor Name: | MRS. COURNEY JAE MILLER |
NPI Number: | 1922361484 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS ED |
License Number: | 1809336 |
Business Practice Address: | 1861 Grand Ave Apt A4 North Baldwin, NY - 115102400 |
Business Phone Number: | 5164769254 |
Business Fax Number: | |
Mailing Address: | 1861 Grand Avenue, Apt A4 NORTH BALDWIN |
State: | NY |
Postal Code: | 11510 |
Phone Number: | 5164769254 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1809336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |