| Doctor Name: | DONALD ERIC MILMORE |
| NPI Number: | 1184727711 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 128413 |
| Business Practice Address: | 120 Walnut Street Fayetteville, NY - 130662028 |
| Business Phone Number: | 3156374601 |
| Business Fax Number: | 3156378927 |
| Mailing Address: | 120 Walnut Street, FAYETTEVILLE |
| State: | NY |
| Postal Code: | 130662028 |
| Phone Number: | 3156374601 |
| Fax Number: | 3156378927 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 05/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 128413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |