MRS. Courney Jae Miller, MS ED

NPI #1922361484 in North Baldwin, New York

Provider Information

NPI Number: 1922361484
Entity Type: Individual
Name: MRS. Courney Jae Miller, MS ED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS ED
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 1861 GRAND AVE
Address 2: APT A4
City: North Baldwin
State: New York
ZIP Code: 11510-2400
Phone: (516) 476-9254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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