Millendorf, Jerold Barry

Millendorf, Jerold Barry is an individual health care provider with primary practice located at 1530 Route 9 , Wappingers Falls NY 12590-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Millendorf, Jerold Barry can be contacted via phone (845) 297-2511.

Contact Information

Primary practice address
1530 Route 9 Wappingers Falls NY 12590-4131
Phone: (845) 297-2511
Fax: (845) 297-4993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 138710 New York

Profile Details

NPI number 1609821354
LBN Legal business name Millendorf, Jerold Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609821354 NPPES
New York MEDICAID 01322870

Popular Providers