Provider Demographics
NPI:1033545736
Name:MILIN, JILLIAN LYNN (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:LYNN
Last Name:MILIN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GREAT OAK RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1414
Mailing Address - Country:US
Mailing Address - Phone:203-232-3410
Mailing Address - Fax:631-382-8324
Practice Address - Street 1:33 GREAT OAK RD
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1414
Practice Address - Country:US
Practice Address - Phone:203-232-3410
Practice Address - Fax:631-382-8324
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032993-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist