Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 014582-1 | NY |
N | 2251C2600X | Cardiopulmonary | 014582-1 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 014582-1 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 014582-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 014582-1 | NY |
N | 2251S0007X | Physical Therapist - Sports | 014582-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 014582-1 | NY |
NPI | 1336565076 |
---|---|
Provider Name | Emily Z. Mildt |
First Address | Manhasset, NY 11030-1618 |
Second Address | Manhasset, NY 11030-1618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2014 |
Last Update Date | 05/03/2014 |