Provider Demographics
NPI:1376758011
Name:MILLER, HOWARD SAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:SAUL
Last Name:MILLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 481
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-0481
Mailing Address - Country:US
Mailing Address - Phone:718-575-5000
Mailing Address - Fax:
Practice Address - Street 1:8 VENTANA CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-2511
Practice Address - Country:US
Practice Address - Phone:917-662-6072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004983213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU31072Medicare UPIN
NYP56451Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NY00472AMedicare ID - Type UnspecifiedMEDICARE GHI