Provider Demographics
NPI:1740074673
Name:EAST HILL FAMILY MEDICAL, INC.
Entity type:Organization
Organization Name:EAST HILL FAMILY MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-253-8477
Mailing Address - Street 1:144 GENESEE ST STE 500
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3599
Mailing Address - Country:US
Mailing Address - Phone:315-253-8477
Mailing Address - Fax:315-253-4727
Practice Address - Street 1:13 N FULTON ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2703
Practice Address - Country:US
Practice Address - Phone:315-253-8477
Practice Address - Fax:315-515-3191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST HILL FAMILY MEDICAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty