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Connelly Dominick Miller
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1316696388

Connelly Dominick Miller is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Connelly Dominick Miller practices in Stony Brook, NY. The NPI Number for Connelly Dominick Miller is 1316696388 and holds a License No. (New York).

The current practice location address for Connelly Dominick Miller is 101 Nicolls Road, Stony Brook, NY and can be reached out via phone at 631-444-1916.

Location: 101 Nicolls Road, Stony Brook, NY, 11794-8093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316696388
Provider Name
Connelly Dominick Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Road, Stony Brook, NY, 11794-8093
Phone Number
631-444-1916
Fax Number
Provider Enumeration Date
03/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794-8093
Phone Number
631-444-1916
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794-8093
Phone Number
631-444-1916
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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