Individual
ALICE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
436 HINSDALE RD, CAMILLUS, NY 13031-1648
(315) 488-0996
(315) 488-1955
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
252811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252811
NY ST LICENSE
NY
Enumeration date
01/22/2008
Last updated
05/16/2011
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