person
Dr. Kenneth Marc Miller, MD
Gastroenterology Physician in New York, New York
NPI 1164424099

Kenneth Marc Miller is a Gastroenterology Physician based in Maspeth, NY and is specialized in Gastroenterology. Kenneth Marc Miller practices in New York, NY and has the professional credentials of MD. The NPI Number for Kenneth Marc Miller is 1164424099 and holds a License No. 210303 (New York).

The current practice location address for Kenneth Marc Miller is 311 E 79Th St, New York, NY and can be reached out via phone at 212-996-6633 and via fax at 212-996-6677. You can also correspond with Kenneth Marc Miller through the mailing address at PO BOX 780217, MASPETH, NY - 11378-0217 (mailing address contact number: 718-639-8827).

Location: 311 E 79Th St, New York, NY, 11378-0217
person
Provider Profile Details
NPI Number
1164424099
Provider Name
Kenneth Marc Miller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
311 E 79Th St, New York, NY, 11378-0217
Phone Number
212-996-6633
Fax Number
212-996-6677
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1V7471 01 NY EMPIRE BLUE CROSS BLUE SH
2595177 01 NY GHI
P2479763 01 NY OXFORD HEALTH PLAN
4C0580 01 NY HEALTH PLAN OF NEW YORK
02133062 05 NY
MK0303 01 NY ATLANTIS
institution
Provider Business Practice Location Address Details
Address
311 E 79Th St
City
State
Zip
10021-0903
Phone Number
212-996-6633
Fax Number
212-996-6677
person
Provider Business Mailing Address Details
Address
Po Box 780217
City
State
Zip
11378-0217
Phone Number
718-639-8827
Fax Number
718-639-8811
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
License No.
210303 (New York)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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