Provider Demographics
NPI:1952547952
Name:MILCHTEIM, CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:
Last Name:MILCHTEIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:45 CROSSWAYS PARK DR W
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2037
Mailing Address - Country:US
Mailing Address - Phone:516-992-4568
Mailing Address - Fax:516-992-4637
Practice Address - Street 1:1728 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3745
Practice Address - Country:US
Practice Address - Phone:516-302-8180
Practice Address - Fax:516-302-8169
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC148070207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty