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Individual

CHASE H MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2365 CLINTON AVE S, SUITE 200, ROCHESTER, NY 14618-2645
(585) 758-5700
(585) 758-1293
Mailing address
601 ELMWOOD AVE, BOX 629, ROCHESTER, NY 14642-0001
(585) 758-5700
(585) 758-1293

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
183572
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00052384004
COMMUNITY BLUE
NY
05
01481290
NY
01
5462734
AETNA
NY
01
G0182467590
BLUE CHOICE
NY
01
P020183572
BLUE SHIELD
NY
Enumeration date
07/03/2006
Last updated
03/17/2011
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