National Provider Identifier

Clifton Wayne Miller

Clifton Wayne Miller is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (910) 783-9062.

NPI 1003449539Rochester, NYCase Manager/Care Coordinator

Profile Overview

NPI
1003449539
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
February 12, 2020
Last Updated
February 12, 2020

Practice Location

  • 1645 Saint Paul St
  • Rochester, NY 14621-3162

Phone: (910) 783-9062

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1003449539
Entity Type
Individual
Last Name
Miller
First Name
Clifton
Middle Name
Wayne
Mailing Street Address
1645 Saint Paul St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3162
Mailing Country
US
Mailing Phone
(910) 783-9062
Practice Street Address
1645 Saint Paul St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3162
Practice Country
US
Practice Phone
(910) 783-9062
Enumeration Date
February 12, 2020
Last Updated
February 12, 2020
Sex
Male
Sole Proprietor
No
Certification Date
February 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)
Other Identifiers
858976812 (NY, Ny State Id)