MEDICARE: SARA MILLER-POJMAN RPAC

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	363A00000X	Physician Assistant	001525-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001525-1	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1124140306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MILLER-POJMAN RPAC

Provider Business Mailing Address
First Line	:	4 HUNTER ST
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-1910
Country	:	US
Telephone Number	:	914-271-9443
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 UNDERHILL AVE
Second Line	:
City	:	YORKTOWN HTS
State	:	NY
Zip	:	10598-4557
Country	:	US
Telephone Number	:	914-962-5501
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	10/20/2017

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