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NPI Code Detail

MEDICARE: DR. CHARLES MILCHTEIM M.D.

MEDICARE: DR. CHARLES MILCHTEIM 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
1207X00000XOrthopaedic Surgery Physician148070DC

General Provider Information

NPI Number : 1952547952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES MILCHTEIM M.D.
Provider Business Mailing Address
First Line : 45 CROSSWAYS PARK DR W
Second Line :
City : WOODBURY
State : NY
Zip : 11797-2037
Country : US
Telephone Number : 516-992-4568
Fax Number : 516-992-4637
Provider Business Practice Location Address
First Line : 1728 SUNRISE HWY
Second Line :
City : MERRICK
State : NY
Zip : 11566-3745
Country : US
Telephone Number : 516-302-8180
Fax Number : 516-302-8169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2008
Last Update Date : 11/10/2014

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