Organization
MILLENNIUM MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AMOASHIY (PRESIDENT)
(718) 259-5900
Entity
Organization
Contact information
Practice address
2165 71ST ST, BROOKLYN, NY 11204-5526
(718) 259-5900
Mailing address
2165 71ST ST, BROOKLYN, NY 11204-5526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228298
NY
2084N0400X
Neurology Physician
Primary
211960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877632
—
NY
Enumeration date
05/12/2006
Last updated
09/27/2007
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