Individual
S. DAVID MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5820 MAIN ST, WILLIAMSVILLE, NY 14221-5776
(716) 633-7544
Mailing address
5820 MAIN ST, WILLIAMSVILLE, NY 14221-5776
(716) 689-1901
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A172524-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01401490
—
NY
Enumeration date
02/28/2006
Last updated
06/14/2011
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