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Organization
MILLENNIUM MEDICAL GROUP PC
Active
Organization
MILLENNIUM MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A FULGENCIO-DELMONTE MD (MD)
(718) 404-9157
Entity
Organization
Contact information
Practice address
9320A ROOSEVELT AVE FL 2, JACKSON HEIGHTS, NY 11372-7965
(718) 404-9157
(718) 424-0414
Mailing address
9320A ROOSEVELT AVE FL 2, JACKSON HEIGHTS, NY 11372-7965
(718) 404-9157
(718) 424-0414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407716
—
NY
Enumeration date
10/17/2006
Last updated
10/29/2025
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