Organization
MILLENNIUM P.T. AND REHAB. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE DE MONTAGNAC P.T. (PRESIDENT)
(718) 321-8910
Entity
Organization
Contact information
Practice address
4210 COLDEN ST, APT. 209, FLUSHING, NY 11355-4845
(718) 321-8910
(718) 321-9022
Mailing address
4210 COLDEN ST, SUITE. 209, FLUSHING, NY 11355-4845
(718) 321-8910
(718) 321-9022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
016579-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02285418
—
NY
Enumeration date
10/22/2011
Last updated
02/05/2014
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