Provider Demographics
NPI:1225580780
Name:MILLER, MALAIKA AMINA (CNM)
Entity Type:Individual
Prefix:
First Name:MALAIKA
Middle Name:AMINA
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 TROY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5730
Mailing Address - Country:US
Mailing Address - Phone:917-213-5313
Mailing Address - Fax:917-277-8216
Practice Address - Street 1:1322 TROY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5730
Practice Address - Country:US
Practice Address - Phone:917-213-5313
Practice Address - Fax:917-277-8216
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001765176B00000X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife