Provider Demographics
NPI:1770793747
Name:MILLER, JOANNE (MBA, OTR)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:MBA, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3459 MUNSON PL
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1711
Mailing Address - Country:US
Mailing Address - Phone:914-227-0251
Mailing Address - Fax:
Practice Address - Street 1:2043 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4186
Practice Address - Country:US
Practice Address - Phone:914-227-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist