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Contact Information

MICHAEL C MILLER, MD
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-473-1320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL C MILLER · (Male)

NPI # 1750769733
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2015
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 295480
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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