SearchNew York101YA0400X

Malik Miller, CASAC-T

NPI 1700749470 · on the registry since 2025

Practice

Address
1614 Weirfield St
Ridgewood, NY 11385
Phone
(718) 456-7820
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-08

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