Individual
CHRISTOPHER GRANT MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1425 PORTLAND AVE STE 206, WILSON BLDG, ROCHESTER, NY 14621-3011
(585) 922-4698
(585) 922-5702
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4698
(585) 922-5702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402975
NY
Other
Enumeration date
07/14/2020
Last updated
08/18/2020
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