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Mr. Ira Miller
Prosthetic/Orthotic Supplier in Great Neck, New York
NPI 1093812570

Ira Miller is a Prosthetic/Orthotic Supplier based in Great Neck, NY. Ira Miller practices in Great Neck, NY. The NPI Number for Ira Miller is 1093812570 and holds a License No. 859 (New York).

The current practice location address for Ira Miller is 505 Northern Blvd, Great Neck, NY and can be reached out via phone at 516-466-6751 and via fax at 516-466-9360.

Location: 505 Northern Blvd, Great Neck, NY, 11021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093812570
Provider Name
Ira Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
505 Northern Blvd, Great Neck, NY, 11021
Phone Number
516-466-6751
Fax Number
516-466-9360
Provider Enumeration Date
09/19/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00737884 05 NY
institution
Provider Business Practice Location Address Details
Address
505 Northern Blvd
City
Great Neck
State
New York
Zip
11021
Phone Number
516-466-6751
Fax Number
516-466-9360
person
Provider Business Mailing Address Details
Address
505 Northern Blvd
City
Great Neck
State
New York
Zip
11021
Phone Number
516-466-6751
Fax Number
516-466-9360
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
859 (New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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