Provider Demographics
NPI:1881791705
Name:MILEA, ANTHONY CLAUDE JR (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CLAUDE
Last Name:MILEA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 WEST 11TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8305
Mailing Address - Country:US
Mailing Address - Phone:212-675-5814
Mailing Address - Fax:212-620-5540
Practice Address - Street 1:119 WEST 11TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8305
Practice Address - Country:US
Practice Address - Phone:212-675-5814
Practice Address - Fax:212-620-5540
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL164510207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0500356OtherGHI
81K411OtherBC
G5155OtherOXFORD
4542422OtherAETNA
G5155OtherOXFORD
81K411Medicare ID - Type Unspecified