Provider Demographics
NPI:1295954352
Name:MILFORD, EUGENE PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:PAUL
Last Name:MILFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 RICHARDS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-1635
Mailing Address - Country:US
Mailing Address - Phone:718-945-7150
Mailing Address - Fax:718-246-7417
Practice Address - Street 1:120 RICHARDS ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-1635
Practice Address - Country:US
Practice Address - Phone:718-945-7150
Practice Address - Fax:718-246-7417
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037598-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine