PHILIP MILLER I
NPI 1982091880
Counselor - Addiction (Substance Use Disorder) in New York, NY
Active since April 20, 2015
About Philip Miller I NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP MILLER I (NPI 1982091880) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (17937) and active in the NPI registry since April 2015.
NPPES Registry Identity
NPI1982091880
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePHILIP MILLER I
Location Address121 WEST 111TH STREETNew York, NY 10026
Mailing Address60 Blauvelt AveBergenfield, NJ 07621-1206 · (212) 678-4990 · Fax (121) 266-5178
Phone(212) 679-4990
Fax(121) 266-5179
Sole ProprietorYes
Enumeration DateApril 20, 2015
✔ NPI 1982091880 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 17937
121 WEST 111TH STREET, New York, NY 10026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982091880, enumerated as an "individual" on April 20, 2015.
The provider is located at 121 WEST 111TH STREET NEW YORK, NY 10026 and the phone number is (212) 679-4990.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).