Mark William Milleville in North Tonawanda - Physical Therapist
Mark William Milleville - NPI 1972596807
Mark William Milleville is a Physical Therapist in North Tonawanda, New York. Mark William Milleville practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark William Milleville is 1972596807. The last update date is 2007-07-08.
Mark William Milleville's current location address is 3571 Niagara Falls Blvd, North Tonawanda, New York. You can contact this provider via phone number 7166957848 and fax number 7166950312. The mailing address for Mark William Milleville is 3571 Niagara Falls Blvd, North Tonawanda, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Milleville |
|---|---|
| Address | 3571 Niagara Falls Blvd, North Tonawanda, New York |
| Phone Number | 7166957848 |
| Fax Number | 7166950312 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1972596807 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3571 Niagara Falls Blvd |
|---|---|
| City | North Tonawanda |
| State | New York (NY) |
| Post Code | 14120 |
| Phone Number | 7166957848 |
| Fax Number | 7166950312 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 112481 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11515444 | NY | CAQH |
Post Comment/ Review Below
What is the Mark William Milleville's 1972596807?
The Mark William Milleville's NPI (National Provider Identifier) Number is 1972596807. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark William Milleville?
The Mark William Milleville is physically situated at 3571 Niagara Falls Blvd, in the city of North Tonawanda, state of NY, with the postal code 14120.
What is Mark William Milleville's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark William Milleville's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Mark William Milleville receive its 1972596807 assignment from the Centers for Medicare & Medicaid Services?
The Mark William Milleville was assigned its 1972596807 by the Centers for Medicare & Medicaid Services on 2005-08-25.
When was the information regarding Mark William Milleville, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark William Milleville, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.