National Provider Identifier
Jonathan Gary Miller
Jonathan Gary Miller is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1457032674
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 31, 2023
- Last Updated
- September 12, 2024
Practice Location
- 111 N Maplemere RD Ste 100
- Williamsville, NY 14221-3182
Phone: (716) 204-3200
Mailing Address
- 4225 Genesee St Ste 400
- Cheektowaga, NY 14225-1994
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1457032674
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Jonathan
- Middle Name
- Gary
- Name Prefix
- Mr.
- Mailing Street Address
- 4225 Genesee St Ste 400
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1994
- Mailing Country
- US
- Mailing Phone
- (167) 204-3200
- Mailing Fax
- (716) 204-4337
- Practice Street Address
- 111 N Maplemere RD Ste 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3182
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Practice Fax
- (716) 204-4337
- Enumeration Date
- July 31, 2023
- Last Updated
- September 12, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)