Provider Demographics
NPI:1144557547
Name:MILLER, LINDSAY B (MS ED)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:B
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E 29TH ST
Mailing Address - Street 2:APT. 2J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8173
Mailing Address - Country:US
Mailing Address - Phone:516-318-9827
Mailing Address - Fax:
Practice Address - Street 1:155 E 29TH ST
Practice Address - Street 2:APT. 2J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8173
Practice Address - Country:US
Practice Address - Phone:516-318-9827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1280374171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor