Individual
DONALD ERIC MILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 WALNUT STREET, FAYETTEVILLE, NY 13066-2028
(315) 637-4601
(315) 637-8927
Mailing address
120 WALNUT STREET, FAYETTEVILLE, NY 13066-2028
(315) 637-4601
(315) 637-8927
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
128413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00376132
—
NY
Enumeration date
09/07/2006
Last updated
05/12/2008
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