MILLBROOK MEDICAL PRACTICE PC (NPI# 1851588990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851588990 |
| Entity Type | Organization |
| Organization Name | MILLBROOK MEDICAL PRACTICE PC |
| Practice Address |
28 Front Street Millbrook NY 12545 |
| Mailing Address |
Po Box 256 Millbrook NY 12545-0256 |
| Practice Telephone | 8456778358 |
| Practice Fax Number | 8456776205 |
| Mailing Telephone | 8456778358 |
| Mailing Fax Number | 8456776205 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | DR. MAHMOUD IBRAHIM HAMZA (MD) |
| Authorized Official Telephone | 8456778358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 237858 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | 336ANI | 01 |
| Street Address |
28 FRONT STREET |
| City | MILLBROOK |
| State | NY |
| Zip Code | 12545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618531 | Teresa Goetz | Acupuncturist | 22 Washington Avenue, Millbrook, NY 12545 | 2016-05-31 |
| 1588918668 | Michelle Schmid | Occupational Therapy Assistant | 41 Alden Place, Millbrook Central School District, Millbrook, NY 12545 | 2012-10-29 |
| 1306091103 | Mindy Sue Marr | Speech-Language Pathologist | 30 Weatherford Lane, Millbrook, NY 12545 | 2008-11-20 |
| 1356596266 | John M. Supple | Family Medicine | 3573 Rt. 82, Millbrook, NY 12545 | 2008-11-19 |
| 1285883173 | Anne Cecelia Zukowski | Licensed Practical Nurse | 127 College Lane, Millbrook, NY 12545 | 2008-09-16 |
| 1295983336 | Justin Scheer | Internal Medicine | 3105 Route 44, Millbrook, NY 12545 | 2008-09-03 |
| 1952518177 | Leonard N Lomangino | Dentist | 3302 Franklin Avenue, Millbrook, NY 12545 | 2007-05-17 |
| 1629298849 | Victor Y Soltis | Dentist | 3302 Franklin Ave, Millbrook, NY 12545 | 2007-04-27 |
| 1538292784 | Adrienne Celeste Murawa | Licensed Practical Nurse | 55 Ramble Hill Ln, Millbrook, NY 12545 | 2007-03-14 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| Find all providers in zip 12545 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972886117 | Kimberly Ann Gann Volpe | Specialist | 43 Alden Pl, Millbrook, NY 12545-5807 | 2011-09-23 |
| 1962709428 | Millbrook Physical Therapy PC | Specialist | 2 Front St, Millbrook, NY 12545-5948 | 2011-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.