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Search › New York › 171100000X

Michael Miller, LAC

NPI 1548661770 · on the registry since 2014 · sole proprietor

Practice

Address
66 Austin Blvd
Commack, NY 11725
Phone
(631) 864-2784
Organisation at this address
Vitality Wellness & Rehab Llc
Menasis-Matuza, Nurse Practitioner In Pediatrics, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York