MILLBROOK MEDICAL PRACTICE PC NPI 1851588990

NPI Information

  • NPI: 1851588990
  • Provider Name: MILLBROOK MEDICAL PRACTICE PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 28 FRONT STREET
    MILLBROOK, NY
    ZIP 12545
  • Phone: (845) 677-8358

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NPI Details

MILLBROOK MEDICAL PRACTICE PC is a specialist in Millbrook, NY. The provider is 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. MILLBROOK MEDICAL PRACTICE PC NPI is 1851588990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 FRONT STREET
MILLBROOK, NY
ZIP 12545
Phone: (845) 677-8358
Fax: (845) 677-6205

The provider's authorized official is Mahmoud Ibrahim Hamza .
The authorized official title is Md and has the following contact phone number (845) 677-8358.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 10/3/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist237858NEW YORKYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1336ANIOTHERNEW YORKMEDICARE

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: 11/21/2025

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