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Individual

CARL MILLS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
Mailing address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
129277
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099094
GHI
NY
01
1900115
UNITED HEALTHCARE
NY
01
2353
VYTRA
NY
01
25868P
HIP
NY
01
2C0278
HEALTHNET
NY
01
302164
US FAMILY
NY
01
4217185
AETNA
NY
01
6133141004
HEALTHCARE PARTNERS
NY
01
6133141014
CIGNA
NY
01
78A501
EMPIRE BCBS
NY
01
CS229
OXFORD
NY
Enumeration date
08/03/2005
Last updated
04/16/2008
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