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Individual

JASON MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 275-2100
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
576730
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
576730-1
NY

Other

Enumeration date
03/24/2017
Last updated
09/29/2023
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