Gary P Milack DPM PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

002730 Issued in NY

Legal business name

GARY P MILACK DPM PC

Practice address

45 Route 25a
Suite D-1
Shoreham, NY 11786-1389

Phone

(631) 744-0022

Fax

(631) 744-0802

NPI assigned

May 14, 2012

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

GARY P MILACKAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Paul Milack, DPM

Title

Owner

Phone

(631) 744-0022

Specialties & licenses 1

Addresses

Part of

Gary P Milack DPM PC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1194084913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A",
            "address_2": "SUITE D-1",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389",
            "telephone_number": "631-744-0022",
            "fax_number": "531-744-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A",
            "address_2": "SUITE D-1",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861389",
            "telephone_number": "631-744-0022",
            "fax_number": "631-744-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P MILACK DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY P MILACK",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MILACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-744-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "002730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Fragano
• Valerie Frias
• Alison E Friberg
• Yvette A. Fuerderer, LMHC
• Daniel Patrick Gallagher
• Diane Gavares, LCSW
• Lee Anne Griffin, M.A. CCC SLP
• Chris Gary Grzymala, P.T.
• Jennifer Guido, LMT
• Mary Lee Hasbrouck, LCSW

• Podiatric Clinic/Center in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.