Lawrence C Miller MD PC

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

80495 Issued in NY

Legal business name

LAWRENCE C MILLER MD PC

Practice address

1430 Clove Rd
Staten Island, NY 10301-4300

Phone

(718) 816-8322

Fax

(718) 816-8519

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence C Miller, M.D.

Title

President

Phone

(718) 816-8322

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548461387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014300",
            "telephone_number": "718-816-8322",
            "fax_number": "718-816-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014300",
            "telephone_number": "718-816-8322",
            "fax_number": "718-816-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE C MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-816-8322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "80495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lai M Law, OTR/L
• Winnie Law, FNP-C
• Fatima Lawal
• Mohammed Lawal, RN
• Richard T Lawless
• Marylynn Lawrence
• Micky Jaynes Lawrence
• Abbigail L Laws
• Michele Woodward Lawton, PA-C
• Ryan A. Layman, PT,DPT

• Psychosomatic Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychosomatic Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.