Individual
DR. JEROLD BARRY MILLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 ROUTE 9, WAPPINGERS FALLS, NY 12590-4131
(845) 297-2511
(845) 297-4993
Mailing address
PO BOX 350, HUDSON VALLEY EMERGENCY MEDICINE PLLC, POUGHKEEPSIE, NY 12602
(610) 668-6471
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01322870
—
NY
Enumeration date
05/23/2006
Last updated
01/28/2010
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