Provider Demographics
NPI:1124140306
Name:MILLER-POJMAN, SARA (RPAC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MILLER-POJMAN
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HUNTER ST
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1910
Mailing Address - Country:US
Mailing Address - Phone:914-271-9443
Mailing Address - Fax:
Practice Address - Street 1:322 UNDERHILL AVE
Practice Address - Street 2:
Practice Address - City:YORKTOWN HTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4557
Practice Address - Country:US
Practice Address - Phone:914-962-5501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001525-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001525-1OtherLICENSE