Healthcare Provider Details

I. General information

NPI: 1609813971
Provider Name (Legal Business Name): EAST HILL FAMILY MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 GENESEE ST STE 401
AUBURN NY
13021-3511
US

IV. Provider business mailing address

144 GENESEE ST SUITE 500
AUBURN NY
13021-3503
US

V. Phone/Fax

Practice location:
  • Phone: 315-612-3451
  • Fax: 315-253-4727
Mailing address:
  • Phone: 315-612-3451
  • Fax: 315-253-4727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. APRIL MILES
Title or Position: PRESIDENT/CEO
Credential:
Phone: 315-253-8477