Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 333597 | NY |
NPI | 1003266198 |
---|---|
Provider Name | Miss Catherine Milton |
First Address | Nanuet, NY 10954-1048 |
Second Address | Nanuet, NY 10954-1048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2016 |
Last Update Date | 20/06/2016 |