Healthcare Provider Details

I. General information

NPI: 1427087162
Provider Name (Legal Business Name): CHASE H MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 03/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 CLINTON AVE S SUITE 200
ROCHESTER NY
14618-2645
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 629
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-758-5700
  • Fax: 585-758-1293
Mailing address:
  • Phone: 585-758-5700
  • Fax: 585-758-1293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number183572
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: