Provider Demographics
NPI:1396255675
Name:MILLER, ASHLEY CHRISTINE
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:CHRISTINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CARTERET ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-1604
Mailing Address - Country:US
Mailing Address - Phone:718-317-0282
Mailing Address - Fax:
Practice Address - Street 1:11 CARTERET ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10307-1604
Practice Address - Country:US
Practice Address - Phone:718-317-0282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist