Organization
FABIOLA MILORD, DDS, MPH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIOLA MILORD DDS, MPH (OWNER)
(516) 216-5656
Entity
Organization
Contact information
Practice address
1300 UNION TPKE, SUITE 101, NEW HYDE PARK, NY 11040-1764
(516) 216-5656
Mailing address
11201 QUEENS BLVD, UNIT 6F, FOREST HILLS, NY 11375-5566
(516) 216-5656
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
045702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02989586
—
NY
Enumeration date
04/02/2015
Last updated
04/02/2015
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