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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609821354 | NPPES |
| New York | MEDICAID | 01322870 |
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