Provider Demographics
NPI:1083627723
Name:MILLER, DONALD SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:SCOTT
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CEDAR ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5247
Mailing Address - Country:US
Mailing Address - Phone:914-633-7870
Mailing Address - Fax:914-633-7626
Practice Address - Street 1:20 CEDAR ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5247
Practice Address - Country:US
Practice Address - Phone:914-633-7870
Practice Address - Fax:914-633-7626
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186305207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01475685Medicaid
7155947011OtherCIGNA
OH4155OtherHEALTHNET
1346116OtherUNITED
2599916OtherSITI
30937POtherHIP
110096528OtherRAILROAD MEDICARE
W5996OtherOXFORD
7155947011OtherCIGNA