Individual
ELMER PAUL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1690
(315) 470-8859
Mailing address
8178 OLD FLOYD RD, ROME, NY 13440-0438
(315) 865-8532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F309122
NY
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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