Provider Demographics
NPI:1043085038
Name:MILLS, ALDARIO A
Entity Type:Individual
Prefix:
First Name:ALDARIO
Middle Name:A
Last Name:MILLS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 GRAND AVE APT 4H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-5517
Mailing Address - Country:US
Mailing Address - Phone:347-483-4698
Mailing Address - Fax:
Practice Address - Street 1:1721 GRAND AVE APT 4H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-5517
Practice Address - Country:US
Practice Address - Phone:347-483-4698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst