Individual
MR. EDWIN GUYAN MCMILLAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
140 MAIN ST, POUGHKEEPSIE, NY 12601-3018
(845) 454-7600
Mailing address
86 E MARKET ST, RHINEBECK, NY 12572-1608
(845) 876-4717
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F334064-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02549659
—
NY
Enumeration date
06/06/2006
Last updated
07/08/2007
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