Provider Demographics
NPI:1316683766
Name:MILLER, CHARMAINE C I
Entity type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:C
Last Name:MILLER
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6839
Mailing Address - Country:US
Mailing Address - Phone:929-272-6871
Mailing Address - Fax:
Practice Address - Street 1:1328 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-6839
Practice Address - Country:US
Practice Address - Phone:929-272-6871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist