Provider Demographics
NPI:1376685206
Name:LEWIS G. MILHIM, P.C.
Entity Type:Organization
Organization Name:LEWIS G. MILHIM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:MILHIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-680-4120
Mailing Address - Street 1:240 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-2614
Mailing Address - Country:US
Mailing Address - Phone:516-481-2424
Mailing Address - Fax:516-481-0208
Practice Address - Street 1:240 CLINTON ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-2614
Practice Address - Country:US
Practice Address - Phone:516-481-2424
Practice Address - Fax:516-481-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0346231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00412051Medicaid