Elizabeth Miller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011426 Issued in NY

Practice address

21 Mount Sinai Ave S
Port Jefferson Station, NY 11776-3213

Phone

(631) 828-4556

NPI assigned

Dec 23, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1124449814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MOUNT SINAI AVE S",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MOUNT SINAI AVE S",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763213",
            "telephone_number": "631-828-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rose Mildner
• Victoria Miles, PHD,HHP
• Alexandra Anne Mileto
• Kim Marie Millan, LPN
• Karen Miller Nunez
• Jessica Megan Miller, LMHC
• Zara Clare Miller, OT
• Amy Elizabeth Millheiser, LCSW
• Melena Leigh Mills, RPH
• Mary Anne Miranda, NP-C

• Speech-Language Pathologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.