Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 60245482 | NY |
NPI | 1093908659 |
---|---|
Provider Name | Dr. Susan Milani |
First Address | New York, NY 10009-4000 |
Second Address | New York, NY 10003-4632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2007 |
Last Update Date | 27/08/2007 |