Organization
MILLENNIUM MEDICAL PROFESSIONALS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI P GANGULY M.D. (PRESIDENT)
(631) 979-8880
Entity
Organization
Contact information
Practice address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5010
(631) 979-8880
(631) 979-8064
Mailing address
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787-5010
(631) 979-8880
(631) 979-8064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
05/28/2013
Last updated
05/12/2014
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