Provider Demographics
NPI:1558379941
Name:MILLER, GREGORY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:PAUL
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 TOWER PL
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3735
Mailing Address - Country:US
Mailing Address - Phone:518-446-9979
Mailing Address - Fax:518-446-9979
Practice Address - Street 1:2 TOWER PL
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3735
Practice Address - Country:US
Practice Address - Phone:518-446-9979
Practice Address - Fax:518-446-9979
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY170185-012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY52928TMedicare PIN