Basic Information
| Provider Information | |||||||||
| NPI: | 1083627723 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLER | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | SCOTT | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 CEDAR ST FL 2 | ||||||||
| Address2: | |||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108015247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146337870 | ||||||||
| FaxNumber: | 9146337626 | ||||||||
| Practice Location | |||||||||
| Address1: | 20 CEDAR ST FL 2 | ||||||||
| Address2: | |||||||||
| City: | NEW ROCHELLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108015247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146337870 | ||||||||
| FaxNumber: | 9146337626 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2006 | ||||||||
| LastUpdateDate: | 12/31/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 186305 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 01475685 | 05 | NY | MEDICAID | 7155947011 | 01 | CIGNA | OTHER | OH4155 | 01 | HEALTHNET | OTHER | 1346116 | 01 | UNITED | OTHER | 2599916 | 01 | SITI | OTHER | 30937P | 01 | HIP | OTHER | 110096528 | 01 | RAILROAD MEDICARE | OTHER | W5996 | 01 | OXFORD | OTHER |