Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 129277 | NY |
NPI | 1033110747 |
---|---|
Provider Name | Carl Mills II |
First Address | East Patchogue, NY 11772-4800 |
Second Address | East Patchogue, NY 11772-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0099094 | GHI (01) | NY |
1900115 | UNITED HEALTHCARE (01) | NY |
2353 | VYTRA (01) | NY |
25868P | HIP (01) | NY |
2C0278 | HEALTHNET (01) | NY |
302164 | US FAMILY (01) | NY |
4217185 | AETNA (01) | NY |
6133141004 | HEALTHCARE PARTNERS (01) | NY |
6133141014 | CIGNA (01) | NY |
78A501 | EMPIRE BCBS (01) | NY |
B79447 | (02) | NY |
CS229 | OXFORD (01) | NY |