Provider Demographics
NPI:1538304076
Name:NEW MILLENIUM MEDICAL SOLUTIONS PC
Entity Type:Organization
Organization Name:NEW MILLENIUM MEDICAL SOLUTIONS PC
Other - Org Name:SPRING THYME MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTAMONOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-972-6778
Mailing Address - Street 1:672 DOGWOOD AVE
Mailing Address - Street 2:#312
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3247
Mailing Address - Country:US
Mailing Address - Phone:212-385-4973
Mailing Address - Fax:212-385-4974
Practice Address - Street 1:75 NASSAU ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3700
Practice Address - Country:US
Practice Address - Phone:212-385-4973
Practice Address - Fax:212-385-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty