Healthcare Provider Details

I. General information

NPI: 1740074673
Provider Name (Legal Business Name): EAST HILL FAMILY MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 N FULTON ST
AUBURN NY
13021-2703
US

IV. Provider business mailing address

144 GENESEE ST STE 500
AUBURN NY
13021-3599
US

V. Phone/Fax

Practice location:
  • Phone: 315-253-8477
  • Fax: 315-515-3191
Mailing address:
  • Phone: 315-253-8477
  • Fax: 315-253-4727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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