MEDICARE: CAROLINE ANNA MILLER

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	312414	NY

General Provider Information

NPI Number	:	1770070534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE ANNA MILLER

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVENUE, BOX 608
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-273-4135
Fax Number	:	585-273-3637

Provider Business Practice Location Address
First Line	:	601 ELMWOOD AVENUE, BOX 608
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-275-3191
Fax Number	:	585-273-3637

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

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	01/15/2026

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