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Organization
FABIOLA MILORD, DDS, MPH, PLLC
Active
Organization
FABIOLA MILORD, DDS, MPH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIOLA MILORD DDS, MPH (OWNER)
(516) 216-5656
Entity
Organization
Contact information
Practice address
1300 UNION TPKE, SUITE 101, NEW HYDE PARK, NY 11040-1764
(516) 216-5656
Mailing address
11201 QUEENS BLVD, UNIT 6F, FOREST HILLS, NY 11375-5566
(516) 216-5656
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
045702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02989586
—
NY
Enumeration date
04/02/2015
Last updated
04/02/2015
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