Ebony Denise Miller, NP | |
105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | |
(585) 368-4050 | |
Not Available |
Full Name | Ebony Denise Miller |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 105 Canal Landing Blvd Ste 1, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275041741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F308480-1 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 308480 (New Mexico) | Primary |
Entity Name | The Unity Hospital Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Mailing Address | Practice Location Address |
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Ebony Denise Miller, NP 553 Black Walnut Dr, Rochester, NY 14615-1419 Ph: (585) 802-0942 | Ebony Denise Miller, NP 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 Ph: (585) 368-4050 |
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