Provider Demographics
NPI:1871618751
Name:MILLER, MARGARET ANNE (DC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5858 EAST MOLLOY ROAD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13211-2008
Mailing Address - Country:US
Mailing Address - Phone:315-415-0427
Mailing Address - Fax:315-433-1294
Practice Address - Street 1:5858 EAST MOLLOY ROAD
Practice Address - Street 2:SUITE 155
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13211-2008
Practice Address - Country:US
Practice Address - Phone:315-415-0427
Practice Address - Fax:315-433-1294
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0089661111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
11246700OtherUS POSTAL WORKERS COMP
NYC089666OtherWORKERS COMPENSATION
BB8149Medicare ID - Type Unspecified