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Organization

GARY P MILACK DPM PC

Active
Parent organization
GARY P MILACK
Organization subpart
Yes

Provider details

NPI number
Legal business name
GARY P MILACK
Authorized official
DR. GARY PAUL MILACK DPM (OWNER)
(631) 744-0022
Entity
Organization

Contact information

Practice address
45 ROUTE 25A, SUITE D-1, SHOREHAM, NY 11786-1389
(631) 744-0022
(631) 744-0802
Mailing address
45 ROUTE 25A, SUITE D-1, SHOREHAM, NY 11786-1389
(631) 744-0022
(531) 744-0803

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
002730
NY

Other

Enumeration date
05/14/2012
Last updated
05/14/2012
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