Organization
MILENIA IDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KOLMAN (MANAGING MEMBER)
(516) 537-4913
Entity
Organization
Contact information
Practice address
1510 CHESTER PIKE, EDDYSTONE, PA 19022-1375
(516) 537-4913
(516) 537-4910
Mailing address
PO BOX 453, WOODBURY, NY 11797-0453
(516) 537-4913
(516) 537-4910
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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