Individual
MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
463 WILLIAM ST, BUFFALO, NY 14204-1811
(716) 893-0062
(716) 893-0070
Mailing address
1526 WALDEN AVE STE 400, CHEEKTOWAGA, NY 14225-4985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
04/06/2011
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