Provider Demographics
NPI:1265874986
Name:MILLER, CLAIRE MARIE (LMT)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:MARIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1998 CECELIA PL
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2227
Mailing Address - Country:US
Mailing Address - Phone:516-477-2662
Mailing Address - Fax:
Practice Address - Street 1:320 MERRICK RD STE 3
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-3440
Practice Address - Country:US
Practice Address - Phone:631-691-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022874-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist