Organization
MILENIA IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MANAGING MEMBER)
(516) 537-4913
Entity
Organization
Contact information
Practice address
945 BROADWAY, WOODMERE, NY 11598-1733
(516) 537-4913
(516) 537-4910
Mailing address
945 BROADWAY, WOODMERE, NY 11598-1733
(516) 537-4913
(516) 537-4910
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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