Individual
DR. JOHN P. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2646 W STATE ST, OLEAN, NY 14760-1866
(716) 373-3338
(716) 373-4825
Mailing address
2646 W STATE ST, OLEAN, NY 14760-1866
(716) 373-3338
(716) 373-4825
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003364-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010256601
CHOICE CARE
NY
01
—
000508537007
BC/BS OF WNY
NY
01
—
0010256601
UNIVERA
NY
01
—
00508537007
COMMUNITY BLUE (BC/BS WNY
NY
05
—
00716752
—
NY
01
—
10400030
NYS MEDICAID HMO
NY
01
—
16-1183452
EMPLOYER IDENTIFICATION #
NY
01
—
N003364-1
NYS PODIATRY LICENSE #
NY
01
—
P033648
WORKMEN'S COMPENSATION
NY
Enumeration date
10/18/2006
Last updated
03/07/2023
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