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Organization
MILLBROOK MEDICAL PRACTICE PC
Active
Organization
MILLBROOK MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD IBRAHIM HAMZA (MD)
(845) 677-8358
Entity
Organization
Contact information
Practice address
28 FRONT STREET, MILLBROOK, NY 12545
(845) 677-8358
(845) 677-6205
Mailing address
PO BOX 256, MILLBROOK, NY 12545-0256
(845) 677-8358
(845) 677-6205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
237858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336ANI
MEDICARE
NY
Enumeration date
10/03/2007
Last updated
10/03/2007
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