Basic Information
| Provider Information | |||||||||
| NPI: | 1285996553 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | SARAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1380 1ST AVE | ||||||||
| Address2: | APT. 5F | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100213815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146290752 | ||||||||
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| Practice Location | |||||||||
| Address1: | 535 8TH AVE | ||||||||
| Address2: | FLOOR 2 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100184305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127879700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2012 | ||||||||
| LastUpdateDate: | 06/13/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | CERTIFIED TEACHER | NY | Y | Other Service Providers | Specialist |
No ID Information.