Andrea R Miller, PA
Physician Assistant in Buffalo, NY. Individual provider (NPI-1).
NPI number1902265085
StatusActive
Last updated in NPPESJan 18, 2020
Details
- NPI
- 1902265085
- Entity type
- Individual (NPI-1)
- Name
- Andrea R Miller
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2016
- Certification date
- Jan 18, 2020
- Last updated
- Jan 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 019523 | NY | Yes |
Practice location
77 Goodell St Ste 340Buffalo, NY 14203-1243
Phone 716-645-9715
Mailing address
308 Hopkins RdWilliamsville, NY 14221-3434
Phone 716-946-5652
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