MEDICARE: JOHN F. MILLER P.A.

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	004457	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467534230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F. MILLER P.A.

Provider Business Mailing Address
First Line	:	PO BOX 1368
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12201-1368
Country	:	US
Telephone Number	:	518-886-5108
Fax Number	:	518-886-5857

Provider Business Practice Location Address
First Line	:	3050 ROUTE 50
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2958
Country	:	US
Telephone Number	:	518-886-5108
Fax Number	:	518-886-5857

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	12/29/2015

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