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Individual

JENNIFER MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5800 BIG TREE RD, ORCHARD PARK, NY 14127-4116
(716) 662-7337
Mailing address
8205 MAIN ST STE 10, WILLIAMSVILLE, NY 14221-6054
(716) 539-0789
(716) 250-9090

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
243317-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028388001
UNIVERA HEALTHCARE
NY
01
000529855001
BLUE CROSS BLUE SHIELD
NY
05
02914721
NY
01
1215028
INDEPENDENT HEALTH
NY
Enumeration date
04/25/2007
Last updated
01/30/2026
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