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NPI Code Detail

MEDICARE: JEFFREY W MILSOM M.D.

MEDICARE:   JEFFREY W MILSOM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician145242NY
2208C00000XColon & Rectal Surgery Physician145242NY

General Provider Information

NPI Number : 1003823576
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY W MILSOM M.D.
Provider Business Mailing Address
First Line : 525 E 68TH ST
Second Line : SUITE PAYSON 717, MAILBOX 172
City : NEW YORK
State : NY
Zip : 10021-4870
Country : US
Telephone Number : 212-746-6030
Fax Number :
Provider Business Practice Location Address
First Line : 1315 YORK AVE
Second Line : 2ND FLOOR
City : NEW YORK
State : NY
Zip : 10021-5304
Country : US
Telephone Number : 212-746-6030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 01/06/2012

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Directions to “ JEFFREY W MILSOM M.D.” Practice Location

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