Provider Demographics
NPI:1417053752
Name:MILLER-RIVERO, NANCY ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ELIZABETH
Last Name:MILLER-RIVERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:94 PINE ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3942
Mailing Address - Country:US
Mailing Address - Phone:845-454-3030
Mailing Address - Fax:845-454-4125
Practice Address - Street 1:94 PINE ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3942
Practice Address - Country:US
Practice Address - Phone:845-454-3030
Practice Address - Fax:845-454-4125
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY209837207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01861641Medicaid
NYG37757Medicare UPIN
NY01861641Medicaid