Individual
MR. THOMAS RICHARD MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
112-16 JAMAICA AVE, RICHMOND HILL, NY 11418
(347) 609-2980
(718) 849-3166
Mailing address
112-16 JAMAICA AVE, RICHMOND HILL, NY 11418
(347) 609-2980
(718) 849-3166
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED3518
DE
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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