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Organization
MILLENNIUM MEDICAL SERVICES, PC
Active
Organization
MILLENNIUM MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA MARIA VENTO (CFO, DIRECTOR OF OPERATIONS)
(718) 236-9446
Entity
Organization
Contact information
Practice address
7400 18TH AVE, BROOKLYN, NY 11204-5612
(718) 236-9446
(718) 236-3854
Mailing address
7400 18TH AVE, BROOKLYN, NY 11204-5612
(718) 236-9446
(718) 236-3854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF8730
RAILROAD MEDICARE
NY
Enumeration date
12/15/2005
Last updated
07/05/2010
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