Individual provider · Type 1 NPI

Carson Miller

Surgical Physician Assistant · Rochester, NY

NPI number 1639830748 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X030175 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1639830748

Carson Miller's National Provider Identifier is 1639830748, issued on Jan 2, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, NY. The record was last updated on Sep 22, 2023.