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NPI Code Detail

MEDICARE: MS. AMY KATHLEEN MILLER ATC

MEDICARE:  MS. AMY KATHLEEN MILLER  ATC
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
12255A2300XAthletic Trainer000909-1NY

General Provider Information

NPI Number : 1275668881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY KATHLEEN MILLER ATC
Provider Business Mailing Address
First Line : 32 REDMOND AVE. LOWER APT
Second Line :
City : BUFFALO
State : NY
Zip : 14216
Country : US
Telephone Number : 716-888-2939
Fax Number :
Provider Business Practice Location Address
First Line : 2001 MAIN ST
Second Line : KAC
City : BUFFALO
State : NY
Zip : 14208-1035
Country : US
Telephone Number : 716-888-2939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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Directions to “ MS. AMY KATHLEEN MILLER ATC” Practice Location

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