Provider Demographics
NPI:1144567611
Name:ENGEL, MILTON C (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:C
Last Name:ENGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 BEAVER HILL RD
Mailing Address - Street 2:
Mailing Address - City:GILBOA
Mailing Address - State:NY
Mailing Address - Zip Code:12076-3117
Mailing Address - Country:US
Mailing Address - Phone:607-588-6123
Mailing Address - Fax:
Practice Address - Street 1:161 BEAVER HILL RD
Practice Address - Street 2:
Practice Address - City:GILBOA
Practice Address - State:NY
Practice Address - Zip Code:12076-3117
Practice Address - Country:US
Practice Address - Phone:607-588-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091781-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine