MR. IRA MILLER NPI 1093812570

NPI Information

NPI: 1093812570
Provider Name: MR. IRA MILLER
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
505 NORTHERN BLVD
GREAT NECK, NY
ZIP 11021
Phone: (516) 466-6751
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MR. Ira Miller is a prosthetic orthotic supplier in Great Neck, NY. The provider is 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. MR. Ira Miller NPI is 1093812570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

505 NORTHERN BLVD
GREAT NECK, NY
ZIP 11021
Phone: (516) 466-6751
Fax: (516) 466-9360

The enumeration date for this NPI number is 9/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		859	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0387070001	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00737884	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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