Provider Demographics
NPI:1295347078
Name:MILLER, ALANA JANINE (PA)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:JANINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:129 W 29TH ST FL 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5105
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:1585 BROADWAY # LLB
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8200
Practice Address - Country:US
Practice Address - Phone:212-296-5777
Practice Address - Fax:212-761-4758
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2022-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY025774363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical