Provider Demographics
NPI:1720025364
Name:MILLER, ROBIN M (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:110 SOUTH BEDFORD ROAD
Mailing Address - Street 2:CARE MOUNT MEDICAL, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3412
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:90 S BEDFORD RD
Practice Address - Street 2:CARE MOUNT MEDICAL, PC
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3412
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2016-11-15
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Provider Licenses
StateLicense IDTaxonomies
NY2241302085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02677301Medicaid
NY772T006761Medicare PIN
NY02677301Medicaid