Provider Demographics
NPI:1376924456
Name:MILLER, ANNA GENKINA
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:GENKINA
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:GENKINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:10 CITY PL APT 12G
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3341
Mailing Address - Country:US
Mailing Address - Phone:347-523-3920
Mailing Address - Fax:
Practice Address - Street 1:10 CITY PL APT 12G
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3341
Practice Address - Country:US
Practice Address - Phone:347-523-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027315235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist