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MILLENNIUM MEDICAL PROFESSIONALS PLLC NPI 1114364510


NPI Information

NPI: 1114364510
Provider Name: MILLENNIUM MEDICAL PROFESSIONALS, PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
496 SMITHTOWN BYP
SUITE 101
SMITHTOWN, NY
ZIP 11787
Phone: (631) 979-8880
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MILLENNIUM MEDICAL PROFESSIONALS, PLLC is a cardiovascular disease internal medicine in Smithtown, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MILLENNIUM MEDICAL PROFESSIONALS, PLLC NPI is 1114364510. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

496 SMITHTOWN BYP
SUITE 101
SMITHTOWN, NY
ZIP 11787-010
Phone: (631) 979-8880
Fax: (631) 979-8064

The provider's authorized official is Jyoti P Ganguly .
The authorized official title is President and has the following contact phone number (631) 979-8880.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A100090357MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.