Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 044419 | CT |
Y | 2080P0202X | Pediatric Cardiologist | 044419 | CT |
NPI | 1063453777 |
---|---|
Provider Name | Dr. Christa Linda Miliaresis |
First Address | Stamford, CT 06905-3021 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 10/08/2011 |