Basic Information
| Provider Information | |||||||||
| NPI: | 1225745730 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | RNFA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 466 | ||||||||
| Address2: | |||||||||
| City: | ILION | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133570466 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | LITTLE FALLS HOSPITAL | ||||||||
| Address2: | 140 BURWELL ST. | ||||||||
| City: | LITTLE FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 13365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3158231000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2022 | ||||||||
| LastUpdateDate: | 11/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WR0006X | 525983 | NY | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant |
No ID Information.