Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 50052181 | NY |
NPI | 1003065087 |
---|---|
Provider Name | Dr. Antonella Milio |
First Address | Brooklyn, NY 11235-2227 |
Second Address | Brooklyn, NY 11235-2227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 15/09/2008 |