Most Relevant Information
Provider Data
| NPI Number: | 1003198870 |
| Provider Name: | REVA MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 339399 |
Most Important Dates
| Enumeration Date: | 09/16/2011 |
| Last Updated: | 09/16/2011 |
Provider Practice Location
450 NASSAU BLVD
WEST HEMPSTEAD
NY
115522852
Practice Location Phone/Fax
| Phone: | 5163903165 |
| Fax: | 5164898946 |
Provider Mailing Location
450 NASSAU BLVD
WEST HEMPSTEAD
NY
115522852
Provider Mailing Phone/Fax
| Phone: | 5163903165 |
| Fax: | 5164898946 |