Provider Demographics
NPI:1750156964
Name:MILLER, APRIL
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 MERCHANT PL
Mailing Address - Street 2:
Mailing Address - City:COBLESKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12043-5715
Mailing Address - Country:US
Mailing Address - Phone:518-234-1155
Mailing Address - Fax:518-254-0691
Practice Address - Street 1:139 MERCHANT PLACE
Practice Address - Street 2:COBLESKILL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:12043
Practice Address - Country:US
Practice Address - Phone:518-234-1155
Practice Address - Fax:518-254-0691
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010568-01156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician