MEDICARE: STUART J MILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	161824	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	020053298	OTHER	NY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124013446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART J MILLER MD

Provider Business Mailing Address
First Line	:	50 NEW SCOTLAND AVE # MC-192
Second Line	:	DIVISION OF CARDIO-THORACIC SURGERY
City	:	ALBANY
State	:	NY
Zip	:	12208-3403
Country	:	US
Telephone Number	:	518-262-9777
Fax Number	:	518-262-9778

Provider Business Practice Location Address
First Line	:	50 NEW SCOTLAND AVE # MC-192
Second Line	:	DIVISION OF CARDIO-THORACIC SURGERY
City	:	ALBANY
State	:	NY
Zip	:	12208-3403
Country	:	US
Telephone Number	:	518-262-9777
Fax Number	:	518-262-9778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	02/24/2012

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Directions to “ STUART J MILLER MD” Practice Location

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