Provider Demographics
NPI:1942792783
Name:MILLER, HALEY J (PA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:251 SALINA MEADOWS PKWY SUITE 100
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-4516
Mailing Address - Country:US
Mailing Address - Phone:315-464-2000
Mailing Address - Fax:315-464-2010
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-4363
Practice Address - Fax:315-464-8690
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant